MEDICARE: DR. MICHAEL R YORK 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	213656	MA
2	207RR0500X	Rheumatology Physician	213656	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851388755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL R YORK MD

Provider Business Mailing Address
First Line	:	720 HARRISON AVE
Second Line	:	DOB 503
City	:	BOSTON
State	:	MA
Zip	:	02118
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	725 ALBANY ST
Second Line	:	SHAPIRO 7, SUITE B
City	:	BOSTON
State	:	MA
Zip	:	02118-2526
Country	:	US
Telephone Number	:	617-638-7460
Fax Number	:	617-638-5226

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

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	06/30/2014

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Directions to “ DR. MICHAEL R YORK MD” Practice Location

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