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SOUTH YONKERS FAMILY MEDICINEPLLC NPI 1568402972


NPI Information

NPI: 1568402972
Provider Name: SOUTH YONKERS FAMILY MEDICINE,PLLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 33D0886276

Address:
32 HYATT AVE
YONKERS, NY
ZIP 10704
Phone: (914) 237-8282
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SOUTH YONKERS FAMILY MEDICINE,PLLC is a specialist in Yonkers, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTH YONKERS FAMILY MEDICINE,PLLC NPI is 1568402972. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

32 HYATT AVE
YONKERS, NY
ZIP 10704-311
Phone: (914) 237-8282

The provider's authorized official is Caridad Fresneda .
The authorized official title is Owner and has the following contact phone number (914) 237-8282.

The CLIA number assigned to this NPI record is 33D0886276 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 5/10/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist190207-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DE4256OTHERNEW YORKRAILROAD MDCR GROUP #
25297060002MEDICARE NSCNEW YORK
3008619OTHERNEW YORKAETNA HMO GROUP #
45297060001MEDICARE NSCNEW YORK
50455572OTHERNEW YORKAETNA PPO GROUP #
6WEV061MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.