Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 147189 | NY |
NPI | 1881803591 |
---|---|
Provider Name | Savely Y. Yurkovsky |
First Address | Ridgefield, CT 06877-1233 |
Second Address | Chappaqua, NY 10514-3443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 08/07/2007 |