MEDICARE: SARAJANE YOLOWITZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	170241	NY

General Provider Information

NPI Number	:	1568442408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAJANE YOLOWITZ MD

Provider Business Mailing Address
First Line	:	40 WALL ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10005-1304
Country	:	US
Telephone Number	:	212-785-0284
Fax Number	:	646-380-1150

Provider Business Practice Location Address
First Line	:	40 WALL ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10005-1304
Country	:	US
Telephone Number	:	212-785-0284
Fax Number	:	646-380-1150

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	08/19/2013

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