Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 133732 | NY |
N | 111NI0900X | Internist | 133732 | NY |
Y | 207RA0401X | Internist - Addiction Medicine | ME98252 | FL |
NPI | 1144386863 |
---|---|
Provider Name | Robert Yodashkin |
First Address | Delray Beach, FL 33445-7337 |
Second Address | Delray Beach, FL 33445-7337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 18/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00350394 | (05) | NY |
01A691 | (02) | NY |