Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 296105-1 | NY |
NPI | 1033403084 |
---|---|
Provider Name | Ralph Yachoui |
First Address | New York, NY 10017-5699 |
Second Address | New York, NY 10003-3314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2011 |
Last Update Date | 20/10/2020 |