Healthcare Provider Details

I. General information

NPI: 1023729043
Provider Name (Legal Business Name): SAVELY YURKOVSKY PHYSICIAN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2022
Last Update Date: 12/09/2022
Certification Date: 12/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 KISCO AVE STE X
MOUNT KISCO NY
10549-1414
US

IV. Provider business mailing address

120 KISCO AVE STE X
MOUNT KISCO NY
10549-1414
US

V. Phone/Fax

Practice location:
  • Phone: 914-861-9161
  • Fax:
Mailing address:
  • Phone: 914-861-9161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SAVELY YURKOVSKY
Title or Position: OWNER
Credential: MD
Phone: 914-861-9161