Individual
DR. HOLLY KRISTIN YETTAW LUTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3332 ROCHAMBEAU AVE, DEPT OF OB/GYN, BRONX, NY 10467-2836
(718) 920-5157
(718) 920-6313
Mailing address
3332 ROCHAMBEAU AVE, DEPT OF OB/GYN, BRONX, NY 10467-2836
(718) 920-5157
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2602561
NY
207VX0000X
Obstetrics Physician
4301508279
MI
Other
Enumeration date
02/15/2008
Last updated
04/21/2023
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