MEDICARE: YOGENDRA SAXENA MD

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	208000000X	Pediatrics Physician	137394	NY

General Provider Information

NPI Number	:	1184609687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOGENDRA SAXENA MD

Provider Business Mailing Address
First Line	:	34 TENAFLY DR
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-3610
Country	:	US
Telephone Number	:	718-245-3660
Fax Number	:	718-245-3729

Provider Business Practice Location Address
First Line	:	451 CLARKSON AVE
Second Line	:	KINGS COUNTY HOSPITAL
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2057
Country	:	US
Telephone Number	:	718-245-3660
Fax Number	:	718-245-3729

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

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

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