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NPI Code Detail

MEDICARE: MARC YLAND MD

MEDICARE:   MARC  YLAND  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
1207L00000XAnesthesiology Physician185247NY
2208VP0014XInterventional Pain Medicine Physician185247NY

General Provider Information

NPI Number : 1477556025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC YLAND MD
Provider Business Mailing Address
First Line : 2500 NESCONSET HWY
Second Line : BLDG 24C
City : STONY BROOK
State : NY
Zip : 11790-2598
Country : US
Telephone Number : 631-941-0187
Fax Number : 631-689-3814
Provider Business Practice Location Address
First Line : 2500 NESCONSET HWY
Second Line : BLDG 24C
City : STONY BROOK
State : NY
Zip : 11790-2598
Country : US
Telephone Number : 631-941-0187
Fax Number : 631-689-3814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 10/26/2007

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Directions to “ MARC YLAND MD” Practice Location

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