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NPI Code Detail

MEDICARE: DR. YEHUDA FOGEL PSYD

MEDICARE: DR. YEHUDA FOGEL PSYD
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
1103TC0700XClinical Psychologist028205NY

General Provider Information

NPI Number : 1902734395
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YEHUDA FOGEL PSYD
Provider Business Mailing Address
First Line : 1266 PACIFIC ST APT 4B
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-6248
Country : US
Telephone Number : 516-262-8535
Fax Number :
Provider Business Practice Location Address
First Line : 451 CLARKSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2054
Country : US
Telephone Number : 516-262-8535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “ DR. YEHUDA FOGEL PSYD” Practice Location

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