Individual
DR. YEHUDA NEZARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2000 N VILLAGE AVE STE 207, ROCKVILLE CENTRE, NY 11570-1001
(516) 887-2820
(516) 887-2638
Mailing address
2 BRAYTON COURT SOUTH, SOUTH SETAUKET, NY 11720
(516) 887-2820
(516) 887-2638
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005500
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005500
HIP
NY
01
—
1499885
GHI
NY
01
—
1925334
UNITED HEALTH CARE
NY
01
—
2C6586
HEALTH NET
NY
01
—
7677235
ATENA USHC
NY
01
—
97964
VYTRA HEALTH PLAN
NY
01
—
BP0412
BC& BS
NY
01
—
CIGNA
5134279003
NY
01
—
P1887381
OXFORD
NY
01
—
PB0411
BC & BS
NY
Enumeration date
10/02/2006
Last updated
11/28/2021
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