Provider Demographics
NPI:1881949774
Name:YU, NIKKI B (ACUPNCTURIST)
Entity type:Individual
Prefix:
First Name:NIKKI
Middle Name:B
Last Name:YU
Suffix:
Gender:F
Credentials:ACUPNCTURIST
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:B
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ACUPUNCTURIST
Mailing Address - Street 1:13237 41ST RD STE 102
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4235
Mailing Address - Country:US
Mailing Address - Phone:917-767-8868
Mailing Address - Fax:
Practice Address - Street 1:13237 41ST RD STE 102
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4235
Practice Address - Country:US
Practice Address - Phone:917-767-8868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004859171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist