Provider Demographics
NPI:1972622579
Name:YU, VAN (MD)
Entity type:Individual
Prefix:DR
First Name:VAN
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:198 E 121ST ST
Mailing Address - Street 2:FL 5
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-3523
Mailing Address - Country:US
Mailing Address - Phone:212-803-2710
Mailing Address - Fax:212-539-2654
Practice Address - Street 1:74 TRINITY PL
Practice Address - Street 2:SUITE 800
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10006-2003
Practice Address - Country:US
Practice Address - Phone:212-579-2650
Practice Address - Fax:212-579-2654
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2016-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2050092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry