Provider Demographics
NPI:1144276833
Name:YU, CHI-TEH (MD)
Entity type:Individual
Prefix:DR
First Name:CHI-TEH
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 DAN TROY DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3513
Mailing Address - Country:US
Mailing Address - Phone:716-630-6660
Mailing Address - Fax:716-630-6662
Practice Address - Street 1:19 LIMESTONE DR
Practice Address - Street 2:SUITE 6
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7091
Practice Address - Country:US
Practice Address - Phone:716-630-6660
Practice Address - Fax:716-630-6662
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY125371-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY207R00000XOtherTAXONOMY
NY207R00000XOtherTAXONOMY
NYB71576Medicare UPIN
NY00629401Medicare ID - Type Unspecified