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NPI Code Detail

MEDICARE: YOCHEVED R SILK RPA-C

MEDICARE: YOCHEVED R SILK RPA-C
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
1363AM0700XMedical Physician Assistant011667NY

General Provider Information

NPI Number : 1659429272
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOCHEVED R SILK RPA-C
Provider Business Mailing Address
First Line : 1656 54TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-1428
Country : US
Telephone Number : 347-996-6285
Fax Number :
Provider Business Practice Location Address
First Line : 60 PLAZA ST E STE 1-0
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-5040
Country : US
Telephone Number : 347-996-6285
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 02/01/2010

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Directions to “ YOCHEVED R SILK RPA-C” Practice Location

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