| Edwardo M Yambo Md Pc | |
|
41 Brentwood Rd Bay Shore NY 11706 | |
| (631) 968-0800 | |
| (631) 665-0816 |
| Full Name | Edwardo M Yambo Md Pc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 41 Brentwood Rd, Bay Shore, New York |
| Authorized Official Name and Position | Edwardo Marth Yambo (OWNER) |
| Authorized Official Contact | 6319680800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwardo M Yambo Md Pc 41 Brentwood Rd Bay Shore NY 11706-6923 Ph: (631) 968-0800 | Edwardo M Yambo Md Pc 41 Brentwood Rd Bay Shore NY 11706 Ph: (631) 968-0800 |
| NPI Number | 1194829754 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 08/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194829754 | NPI | - | NPPES |
| 1164480414 | Other | NPI | |
| 1962591271 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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