1174568299 NPI number — DR. AMIR YAMANI MD

Table of content: DR. AMIR YAMANI MD (NPI 1174568299)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174568299 NPI number — DR. AMIR YAMANI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YAMANI
Provider First Name:
AMIR
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174568299
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
153 STEVENS AVE
Provider Second Line Business Mailing Address:
SUITE 6
Provider Business Mailing Address City Name:
MOUNT VERNON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10550-2543
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-667-3800
Provider Business Mailing Address Fax Number:
914-667-3812

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
153 STEVENS AVE
Provider Second Line Business Practice Location Address:
SUITE 6
Provider Business Practice Location Address City Name:
MOUNT VERNON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10550-2543
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-667-3800
Provider Business Practice Location Address Fax Number:
914-667-3812
Provider Enumeration Date:
06/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  224154-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 133132570 . This is a "POMCO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 32407 . This is a "CMO MONTEFIORE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2999199 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P2669950 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 002219303 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 111186P . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 9773403-003 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 02412664 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0498784 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 422B81 . This is a "BLUE CROSS / BLUE SHIELD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 422B81 . This is a "EMPIRE NY GOVERNMENT" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: OH1358 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 224154-NY . This is a "1199 SEIU" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 359047 . This is a "GUARDIAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P-11214493 . This is a "MULTIPLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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