Provider Demographics
NPI:1669872271
Name:YAP, PAULEENE
Entity type:Individual
Prefix:
First Name:PAULEENE
Middle Name:
Last Name:YAP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 JEFFERSON TER
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07439-1033
Mailing Address - Country:US
Mailing Address - Phone:973-769-8998
Mailing Address - Fax:
Practice Address - Street 1:4 JEFFERSON TER
Practice Address - Street 2:
Practice Address - City:OGDENSBURG
Practice Address - State:NJ
Practice Address - Zip Code:07439-1033
Practice Address - Country:US
Practice Address - Phone:973-769-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005356171100000X
NJ18KT00702900225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist