Provider Demographics
NPI:1952920753
Name:YU, VICTORIA XIAO
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:XIAO
Last Name:YU
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 1:60 HAVEN AVE APT 22E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-0571
Mailing Address - Country:US
Mailing Address - Phone:408-207-3002
Mailing Address - Fax:
Practice Address - Street 1:60 HAVEN AVE APT 22E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-0571
Practice Address - Country:US
Practice Address - Phone:408-207-3002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-11
Last Update Date:2020-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program