Individual
ANTHONY F. YACONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4061 NE 110TH ST, SEATTLE, WA 98125-5806
(412) 552-8189
Mailing address
4061 NE 110TH ST, SEATTLE, WA 98125-5806
(412) 552-8189
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
121046
NY
2084P0800X
Psychiatry Physician
Primary
MD433809
PA
2084P0804X
Child & Adolescent Psychiatry Physician
121046
NY
2084P0804X
Child & Adolescent Psychiatry Physician
MD433809
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102201646
—
PA
Enumeration date
04/25/2006
Last updated
01/21/2017
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