Healthcare Provider Details

I. General information

NPI: 1255143194
Provider Name (Legal Business Name): YAVNEAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 MAIN ST
BLOOMINGBURG NY
12721-4638
US

IV. Provider business mailing address

80 MAIN ST
BLOOMINGBURG NY
12721-4638
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone: 347-889-1254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MORDECHAT SCHWEID
Title or Position: OWNER
Credential:
Phone: --