MEDICARE: DAVID R. YONKIN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	070230-1	NY

General Provider Information

NPI Number	:	1083698971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID R. YONKIN LCSW

Provider Business Mailing Address
First Line	:	580 W 215TH ST
Second Line	:	3-H
City	:	NEW YORK
State	:	NY
Zip	:	10034-1243
Country	:	US
Telephone Number	:	212-569-0457
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 W 56TH ST
Second Line	:	SUITE 30-G
City	:	NEW YORK
State	:	NY
Zip	:	10019-4312
Country	:	US
Telephone Number	:	917-842-2655
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2005
Last Update Date	:	07/08/2007

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Directions to “ DAVID R. YONKIN LCSW” Practice Location

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