Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DS043008 | PA |
N | 1223E0200X | Endodontist | RFD000028 | PA |
NPI | 1033691357 |
---|---|
Provider Name | Ya-Hsin Yu |
First Address | Philadelphia, PA 19104-6030 |
Second Address | Philadelphia, PA 19104-6030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2018 |
Last Update Date | 22/09/2021 |