Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 27OA00602900 | NJ |
N | 152W00000X | Optometrist | OEG-001741 | PA |
NPI | 1003848219 |
---|---|
Provider Name | Dr. Ulysses Wing Yau |
First Address | Deptford, NJ 08096-2016 |
Second Address | Deptford, NJ 08096-2016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 22/11/2016 |