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NPI Code Detail

MEDICARE: YELENA Y SHRAYBER D.O.

MEDICARE:   YELENA Y SHRAYBER  D.O.
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
1207Q00000XFamily Medicine Physician25MB07668300NJ
2207Q00000XFamily Medicine PhysicianOS011910PA

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 : 1922038199
Entity Type Code : Individual
Provider Name (Legal Business Name) : YELENA Y SHRAYBER D.O.
Provider Business Mailing Address
First Line : 10160 BUSTLETON AVE STE B
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19116-3749
Country : US
Telephone Number : 215-677-0501
Fax Number : 215-673-0409
Provider Business Practice Location Address
First Line : 10160 BUSTLETON AVE STE B
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19116-3749
Country : US
Telephone Number : 215-677-0501
Fax Number : 215-673-0409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 11/28/2022

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Directions to “ YELENA Y SHRAYBER D.O.” Practice Location

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