MEDICARE: MR. JONATHAN M YUHAS MS, RD, CDN

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	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1285050856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JONATHAN M YUHAS MS, RD, CDN

Provider Business Mailing Address
First Line	:	111 CRAIG CIR
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13214-1825
Country	:	US
Telephone Number	:	814-270-1752
Fax Number	:

Provider Business Practice Location Address
First Line	:	6846 BUCKLEY RD STE 1
Second Line	:
City	:	NORTH SYRACUSE
State	:	NY
Zip	:	13212-4270
Country	:	US
Telephone Number	:	315-410-6400
Fax Number	:	315-410-6410

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

Provider Enumeration Date	:	03/06/2014
Last Update Date	:	03/22/2024

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