Dr. Ian M Yudelman
Hematology & Oncology
215 E 95th St
New York
, New York 10128-4077
Dr. Ian M Yudelman
Hematology & Oncology
215 E 95th St
New York
, New York 10128-4077
(516) 542-5556
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Dr. Ian M Yudelman
- 800 Axinn Ave
- Garden City, NY
- Zip : 11530-2139
- Fax : (516) 542-5556
- Phone : (646) 680-2888
Second Address
- Dr. Ian M Yudelman
- 215 E 95th St
- New York, NY
- Zip : 10128-4077
- Fax : (212) 423-3127
- Phone : (212) 996-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 130164 | NY |
National Provider Identifier
| NPI | 1033219456 |
|---|---|
| Provider Name | Dr. Ian M Yudelman |
| First Address | Garden City, NY 11530-2139 |
| Second Address | New York, NY 10128-4077 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2006 |
| Last Update Date | 02/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01170218 | (05) | NY |
| E87323 | (02) | NY |
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.