Individual
MICHELLE ROBIN YAGODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 E 83RD ST, NEW YORK, NY 10028-0401
(212) 434-1210
(212) 535-8155
Mailing address
5 E 83RD ST, NEW YORK, NY 10028-0401
(212) 434-1210
(212) 535-8155
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
182512
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134038248
UNITED HEALTHCARE
—
Enumeration date
12/06/2006
Last updated
12/01/2010
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