Individual
STEPHANIE N YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
360 LINDEN OAKS, SUITE #300, ROCHESTER, NY 14625-2814
(585) 383-8830
(585) 383-8918
Mailing address
100 KINGS HIGHWAY S, ROCHESTER, NY 14617-5504
(585) 383-8830
(585) 383-8918
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
009164
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02782483
—
NY
01
—
P00337678
MEDICARE TRAVELERS
NY
Enumeration date
06/14/2006
Last updated
04/26/2021
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