Individual
JOSEPH FRED YACOVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 CRYSTAL RUN RD, HORTON PAVILION, MIDDLETOWN, NY 10940
(845) 343-0616
(845) 343-0617
Mailing address
PO BOX 29, GOSHEN, NY 10924-0029
(845) 615-1141
(845) 294-4366
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
142645
NY
2085N0904X
Nuclear Radiology Physician
25MA06659900
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
142645
NY
2085R0202X
Diagnostic Radiology Physician
25MA06659900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00851345
—
NY
Enumeration date
07/13/2006
Last updated
12/05/2008
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