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NPI Code Detail

MEDICARE: ANNA YEMELYANOVA M.D.

MEDICARE: ANNA YEMELYANOVA 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician36692AL
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianD62854MD
3207ZP0102XAnatomic Pathology & Clinical Pathology Physician269393NY

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 : 1962429704
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA YEMELYANOVA M.D.
Provider Business Mailing Address
First Line : 1330 1ST AVE APT 1505
Second Line :
City : NEW YORK
State : NY
Zip : 10021-4829
Country : US
Telephone Number : 240-398-7169
Fax Number :
Provider Business Practice Location Address
First Line : 525 E 68TH ST STE 1037
Second Line :
City : NEW YORK
State : NY
Zip : 10065-4870
Country : US
Telephone Number : 212-746-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 06/28/2023

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Directions to “ ANNA YEMELYANOVA M.D.” Practice Location

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