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Organization
SOUTH YONKERS FAMILY MEDICINE,PLLC
Active
Organization
SOUTH YONKERS FAMILY MEDICINE,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARIDAD FRESNEDA MD (OWNER)
(914) 237-8282
Entity
Organization
Contact information
Practice address
32 HYATT AVE, YONKERS, NY 10704-4311
(914) 237-8282
Mailing address
32 HYATT AVE, YONKERS, NY 10704-4311
(914) 237-8282
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
190207-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008619
AETNA HMO GROUP #
NY
01
—
0455572
AETNA PPO GROUP #
NY
01
—
DE4256
RAILROAD MDCR GROUP #
NY
Enumeration date
06/07/2006
Last updated
05/10/2013
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