Individual
NANCY YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-6552
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D14440
MD
1223P0221X
Pediatric Dentistry
Primary
055263
NY
390200000X
Student in an Organized Health Care Education/Training Program
55263-1
NY
Other
Enumeration date
05/19/2009
Last updated
08/22/2024
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