| Shin Yu, M.d., P.c. | |
|
6011 Catalpa Ave Ridgewood NY 11385-5161 | |
| (718) 386-4456 | |
| (718) 417-5782 |
| Full Name | Shin Yu, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6011 Catalpa Ave, Ridgewood, New York |
| Authorized Official Name and Position | Shin Yu (PRACTITIONER/PRESIDENT) |
| Authorized Official Contact | 9145927400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shin Yu, M.d., P.c. 1 S Lawn Ave Elmsford NY 10523-3604 Ph: (914) 592-7400 | Shin Yu, M.d., P.c. 6011 Catalpa Ave Ridgewood NY 11385-5161 Ph: (718) 386-4456 |
| NPI Number | 1720314594 |
|---|---|
| Provider Enumeration Date | 10/28/2009 |
| Last Update Date | 10/28/2009 |
| Medicare PECOS PAC ID | 3577605500 |
|---|---|
| Medicare Enrollment ID | O20100128000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720314594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 210312 (New York) | Primary |
| Provider Name | Shin Ae A Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336214220 PECOS PAC ID: 5890717300 Enrollment ID: I20051228000105 |
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