Provider Demographics
NPI:1447252937
Name:YU, SAU PING (DPM)
Entity type:Individual
Prefix:DR
First Name:SAU PING
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210-212 CANAL ST
Mailing Address - Street 2:STE 507
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:212-267-4580
Mailing Address - Fax:212-267-4580
Practice Address - Street 1:210-212 CANAL ST
Practice Address - Street 2:STE 507
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013
Practice Address - Country:US
Practice Address - Phone:212-267-4580
Practice Address - Fax:212-267-4580
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004166213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00971242Medicaid
T51344Medicare UPIN
NYP43181Medicare ID - Type Unspecified