Healthcare Provider Details

I. General information

NPI: 1699181982
Provider Name (Legal Business Name): DR. MARGARET YEW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2014
Last Update Date: 09/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

289 CHENANGO ST
BINGHAMTON NY
13901-2312
US

IV. Provider business mailing address

289 CHENANGO ST
BINGHAMTON NY
13901-2312
US

V. Phone/Fax

Practice location:
  • Phone: 607-217-7123
  • Fax:
Mailing address:
  • Phone: 607-217-7123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number058095-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: