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NPI Code Detail

MEDICARE: DR. ELAINE S YATZKAN LICENSED CLINICAL SO

MEDICARE:  DR. ELAINE S YATZKAN  LICENSED CLINICAL SO
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
11041C0700XClinical Social WorkerPRO123731NY

General Provider Information

NPI Number : 1699859132
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELAINE S YATZKAN LICENSED CLINICAL SO
Provider Business Mailing Address
First Line : 262 CENTRAL PARK WEST
Second Line :
City : NEW YORK CITY
State : NY
Zip : 10024-3512
Country : US
Telephone Number : 212-724-6330
Fax Number : 212-724-6330
Provider Business Practice Location Address
First Line : 262 CENTRAL PARK WEST
Second Line :
City : NEW YORK CITY
State : NY
Zip : 10024-3512
Country : US
Telephone Number : 212-724-6330
Fax Number : 212-724-6330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ELAINE S YATZKAN LICENSED CLINICAL SO” Practice Location

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