Individual
PATTY S YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
3016 30TH DR STE 3B, ASTORIA, NY 11102
(718) 626-0707
(718) 545-0333
Mailing address
3016 30TH DR STE 3B, ASTORIA, NY 11102-1890
(718) 626-0707
(718) 545-0333
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
279423
NY
2086S0102X
Surgical Critical Care Physician
Primary
279423
NY
2086S0127X
Trauma Surgery Physician
279423
NY
Other
Enumeration date
06/21/2010
Last updated
10/01/2019
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