Provider Demographics
NPI:1215275912
Name:WU, MEI YAO (RN, BSN, IBCLC, RLC)
Entity type:Individual
Prefix:MS
First Name:MEI YAO
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 604676
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-4676
Mailing Address - Country:US
Mailing Address - Phone:718-986-1593
Mailing Address - Fax:
Practice Address - Street 1:3213 210TH ST
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-1063
Practice Address - Country:US
Practice Address - Phone:718-986-1593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY441924163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant