Healthcare Provider Details

I. General information

NPI: 1346496205
Provider Name (Legal Business Name): JOAN H YABLON MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2008
Last Update Date: 08/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 E 77TH ST SUITE 1 B
NEW YORK NY
10075-1811
US

IV. Provider business mailing address

70 E 77TH ST SUITE 1 B
NEW YORK NY
10075-1811
US

V. Phone/Fax

Practice location:
  • Phone: 212-734-4281
  • Fax: 212-650-9736
Mailing address:
  • Phone: 212-734-4281
  • Fax: 212-650-9736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number14000005914
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: