Basic Information
Provider Information
NPI: 1659955128
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YU
FirstName: CLAUDIA
MiddleName: WAI KA
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 168 CENTRE ST FL 3M
Address2:  
City: NEW YORK
State: NY
PostalCode: 100133477
CountryCode: US
TelephoneNumber: 7184907165
FaxNumber: 2122262289
Practice Location
Address1: 168 CENTRE ST FL 3M
Address2:  
City: NEW YORK
State: NY
PostalCode: 100133477
CountryCode: US
TelephoneNumber: 7184907165
FaxNumber: 2122262289
Other Information
ProviderEnumerationDate: 05/10/2021
LastUpdateDate: 05/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X787898NYY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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