MEDICARE: DR. YASHA MAGYAR D.O.

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	208VP0014X	Interventional Pain Medicine Physician	261708	NY
2	208100000X	Physical Medicine & Rehabilitation Physician	OS015183	PA
3	208100000X	Physical Medicine & Rehabilitation Physician	25MB09022300	NJ
4	208100000X	Physical Medicine & Rehabilitation Physician	261708	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154581619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YASHA MAGYAR D.O.

Provider Business Mailing Address
First Line	:	369 LEXINGTON AVE
Second Line	:	18B
City	:	NEW YORK
State	:	NY
Zip	:	10017-6506
Country	:	US
Telephone Number	:	646-467-2737
Fax Number	:	888-277-9455

Provider Business Practice Location Address
First Line	:	369 LEXINGTON AVE
Second Line	:	18B
City	:	NEW YORK
State	:	NY
Zip	:	10017-6506
Country	:	US
Telephone Number	:	646-467-2737
Fax Number	:	888-277-9455

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

Provider Enumeration Date	:	06/09/2008
Last Update Date	:	08/24/2016

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