Individual
DR. IAN M YUDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 E 95TH ST, NEW YORK, NY 10128-4077
(212) 996-8000
(212) 423-3127
Mailing address
800 AXINN AVE, GARDEN CITY, NY 11530-2139
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
130164
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01170218
—
NY
Enumeration date
09/25/2006
Last updated
11/02/2021
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