Benjamin A Youdelman
Surgeon Cardiothoracic Vascular Surgeon
4802 10th Ave
Brooklyn
, New York 11219-2916
Benjamin A Youdelman
Surgeon Cardiothoracic Vascular Surgeon
4802 10th Ave
Brooklyn
, New York 11219-2916
(718) 635-7421
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About
Features
Specialties
- Surgeon
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Benjamin A Youdelman
- 4802 10th Ave
- Brooklyn, NY
- Zip : 11219-2916
- Fax : (718) 635-7421
- Phone : (718) 283-7686
Second Address
- Benjamin A Youdelman
- 4802 10th Ave
- Brooklyn, NY
- Zip : 11219-2916
- Fax : (718) 635-7421
- Phone : (718) 283-7686
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | MD424503 | PA |
| N | 208600000X | Surgeon | MD424503 | PA |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 233641 | NY |
| N | 208G00000X | Cardiothoracic Vascular Surgeon | MA78662 | NJ |
National Provider Identifier
| NPI | 1023216660 |
|---|---|
| Provider Name | Benjamin A Youdelman |
| First Address | Brooklyn, NY 11219-2916 |
| Second Address | Brooklyn, NY 11219-2916 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2007 |
| Last Update Date | 08/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.