MEDICARE: DR. BERNARD BEREL YONK M.D.

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	207RG0100X	Gastroenterology Physician	140237	NY

General Provider Information

NPI Number	:	1437224425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BERNARD BEREL YONK M.D.

Provider Business Mailing Address
First Line	:	19018 NERO AVE
Second Line	:
City	:	HOLLIS
State	:	NY
Zip	:	11423-1106
Country	:	US
Telephone Number	:	171-874-0364
Fax Number	:	171-874-0161

Provider Business Practice Location Address
First Line	:	2355 OCEAN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3150
Country	:	US
Telephone Number	:	171-864-5429
Fax Number	:	171-833-6197

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

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	02/03/2015

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