Healthcare Provider Details

I. General information

NPI: 1023683521
Provider Name (Legal Business Name): CHRISTOPHER YAMADA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2021
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E 76TH ST
NEW YORK NY
10021-3396
US

IV. Provider business mailing address

420 E 76TH ST
NEW YORK NY
10021-3396
US

V. Phone/Fax

Practice location:
  • Phone: 212-434-5300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number337108
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: