Healthcare Provider Details

I. General information

NPI: 1891174777
Provider Name (Legal Business Name): YOHEI DENAWA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2015
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 30TH AVE
ASTORIA NY
11102-2448
US

IV. Provider business mailing address

PO BOX 28082
NEW YORK NY
10087-5024
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-6426
  • Fax: 212-876-3906
Mailing address:
  • Phone: 212-987-3100
  • Fax: 412-937-5710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number303010
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT209096
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: