Individual
STANLEY YANCOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 UNION SQ E, BIMC DEPT OF CHEMICAL DEPENDENCY - SUITE 3F, NEW YORK, NY 10003-3314
(212) 420-2600
(212) 420-2069
Mailing address
PO BOX 32886, HARTFORD, CT 06150
(212) 420-2600
(212) 420-2069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
102820
NY
207RI0200X
Infectious Disease Physician
Primary
102820
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695914
—
NY
Enumeration date
11/15/2005
Last updated
05/14/2019
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