Individual
CHRISTINA M YAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 IRVING AVE, SUITE 200, SYRACUSE, NY 13210-1756
(315) 464-4686
(315) 464-7106
Mailing address
475 IRVING AVE, SUITE 200, SYRACUSE, NY 13210-1756
(315) 464-4686
(315) 464-7106
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D80059
NY
207Q00000X
Family Medicine Physician
234490
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02682584
—
NY
Enumeration date
05/02/2006
Last updated
04/04/2017
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