Healthcare Provider Details

I. General information

NPI: 1174767305
Provider Name (Legal Business Name): YULIYA YASINSKAYA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2009
Last Update Date: 05/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

8342 N BROOK LN
BETHESDA MD
20814-2613
US

V. Phone/Fax

Practice location:
  • Phone: 202-884-6151
  • Fax:
Mailing address:
  • Phone: 301-951-9537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD034244
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberMD034244
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: