Provider Demographics
NPI:1154359248
Name:KANEKO, YU (LAC)
Entity type:Individual
Prefix:
First Name:YU
Middle Name:
Last Name:KANEKO
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 MADISON AVE FL 17
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5419
Mailing Address - Country:US
Mailing Address - Phone:212-365-5066
Mailing Address - Fax:212-808-5510
Practice Address - Street 1:315 MADISON AVE FL 17
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5419
Practice Address - Country:US
Practice Address - Phone:212-365-5066
Practice Address - Fax:212-808-5510
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001738171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist