Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 058235 | NY |
NPI | 1295094670 |
---|---|
Provider Name | Dr. Aaron Edward Yancoskie |
First Address | New York, NY 10019-3211 |
Second Address | New York, NY 10019-3211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2012 |
Last Update Date | 26/01/2017 |