Provider Demographics
NPI:1972338010
Name:YU WELLNESS, INC
Entity type:Organization
Organization Name:YU WELLNESS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:LDN, RD, MSCN
Authorized Official - Phone:267-255-4737
Mailing Address - Street 1:633 W RITTENHOUSE ST APT A1112
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-4314
Mailing Address - Country:US
Mailing Address - Phone:267-255-4737
Mailing Address - Fax:
Practice Address - Street 1:633 W RITTENHOUSE ST APT A1112
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-4314
Practice Address - Country:US
Practice Address - Phone:267-255-4737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty