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Organization
YDR GERIATRICS & NEPHROLOGY LLP
Active
Organization
YDR GERIATRICS & NEPHROLOGY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JINIL YOO MC (PHYSICIAN)
(718) 920-9040
Entity
Organization
Contact information
Practice address
4141 CARPENTER AVE, RENAL UNIT, BRONX, NY 10466-2600
(718) 920-9041
(914) 633-5084
Mailing address
PO BOX 1239, SCARSDALE, NY 10583-9239
(914) 263-7562
(914) 633-5084
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00740818
—
NY
01
—
2672995
AETNA
—
01
—
3300305
GHI
—
Enumeration date
11/15/2006
Last updated
03/27/2015
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