Yu, Young Jae

Yu, Young Jae is an individual health care provider with primary practice located at 734 Main St , Niagara Falls NY 14301-1704. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Yu, Young Jae can be contacted via phone (716) 284-7171.

Contact Information

Primary practice address
734 Main St Niagara Falls NY 14301-1704
Phone: (716) 284-7171
Fax: (716) 285-2426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 113895-1 New York

Profile Details

NPI number 1558335315
LBN Legal business name Yu, Young Jae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558335315 NPPES
New York MEDICAID 00654499

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