Organization
EDWARDO M YAMBO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARDO MARTH YAMBO MD (OWNER)
(631) 968-0800
Entity
Organization
Contact information
Practice address
41 BRENTWOOD RD, BAY SHORE, NY 11706
(631) 968-0800
(631) 665-0816
Mailing address
41 BRENTWOOD RD, BAY SHORE, NY 11706-6923
(631) 968-0800
(316) 650-8166
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164480414
NPI
—
01
—
1962591271
NPI
NY
Enumeration date
09/12/2006
Last updated
08/21/2018
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