Provider Demographics
NPI:1881328722
Name:UPWARD HEALTH ACO REACH LLC
Entity type:Organization
Organization Name:UPWARD HEALTH ACO REACH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHENGTAO
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-985-5455
Mailing Address - Street 1:80 ARKAY DR
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-3705
Mailing Address - Country:US
Mailing Address - Phone:888-985-5455
Mailing Address - Fax:877-985-7622
Practice Address - Street 1:80 ARKAY DR
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-3705
Practice Address - Country:US
Practice Address - Phone:888-985-5455
Practice Address - Fax:877-985-7622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty