Yu, Rebeco Chan

Yu, Rebeco Chan is an individual health care provider with primary practice located at 500 Montauk Hwy Suite U, West Islip NY 11795-4418. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Yu, Rebeco Chan can be contacted via phone (631) 321-0606.

Contact Information

Primary practice address
500 Montauk Hwy Suite U West Islip NY 11795-4418
Phone: (631) 321-0606
Fax: (631) 321-1948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 110127-1 New York

Profile Details

NPI number 1306817119
LBN Legal business name Yu, Rebeco Chan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 8th, 2007 - about 19 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 1306817119 NPPES
New York MEDICAID 00196447
New York Other 110127-1

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