Healthcare Provider Details

I. General information

NPI: 1548123169
Provider Name (Legal Business Name): DANA DVORA YAHAV-SHAFIR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MONTEFIORE MEDICAL CENTER 111 E 210 ST
BRONX NY
10467
US

IV. Provider business mailing address

12 LAUREL RD.
WHITE PLAINS NY
10605
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-4316
  • Fax:
Mailing address:
  • Phone: 914-261-7265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: