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NPI Code Detail

MEDICARE: DR. YARDAENA BATYA OSBAND M.D.

MEDICARE: DR. YARDAENA BATYA OSBAND 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
1208000000XPediatrics Physician244517NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710184833
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YARDAENA BATYA OSBAND M.D.
Provider Business Mailing Address
First Line : 4350 VAN CORTLANDT PARK E
Second Line :
City : BRONX
State : NY
Zip : 10470-1875
Country : US
Telephone Number : 718-231-6565
Fax Number : 718-231-8477
Provider Business Practice Location Address
First Line : 4350 VAN CORTLANDT PARK E
Second Line :
City : BRONX
State : NY
Zip : 10470-1875
Country : US
Telephone Number : 718-231-6565
Fax Number : 718-231-8477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2007
Last Update Date : 09/26/2008

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