NPI Code Details Logo

NPI 1437209079

NPI 1437209079 : ZINAIDA YEL MD : BRONX, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1437209079
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ZINAIDA YEL MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/12/2007
-----------------------------------------------------
    Last Update Date     |    05/25/2011
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    OLMMC, MENTAL HEALTH CLINIC 4401 BRONX BOULEVARD
-----------------------------------------------------
    City                 |    BRONX
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10470
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    718-304-7011
-----------------------------------------------------
    Fax                  |    718-920-9217
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3411 IRWIN AVE APT. #16F
-----------------------------------------------------
    City                 |    BRONX
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10463-3732
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    718-769-4805
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    225104
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.