Healthcare Provider Details

I. General information

NPI: 1780676544
Provider Name (Legal Business Name): HOWARD L YEATON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 02/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 CHURCH STREET SARATOGA HOSPITAL
SARATOGA SPRINGS NY
12866-1003
US

IV. Provider business mailing address

115 PORTER DR
MIDDLEBURY VT
05753-8423
US

V. Phone/Fax

Practice location:
  • Phone: 518-583-8343
  • Fax: 518-583-8386
Mailing address:
  • Phone: 802-388-4701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number188144
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number042.0006375
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: