Provider Demographics
NPI:1649891896
Name:YU, FANG ZHOU (MBCHB)
Entity type:Individual
Prefix:MR
First Name:FANG ZHOU
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:MBCHB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VASSAR BROTHERS MEDICAL CENTER
Mailing Address - Street 2:45 READE PLACE
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601
Mailing Address - Country:US
Mailing Address - Phone:845-790-1317
Mailing Address - Fax:845-790-3178
Practice Address - Street 1:VASSAR BROTHERS MEDICAL CENTER
Practice Address - Street 2:45 READE PLACE
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601
Practice Address - Country:US
Practice Address - Phone:845-790-1317
Practice Address - Fax:845-790-3178
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-29
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program