Organization
ALL BOROUGH PHYSICIAN SERVICES MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR YUKELIS M.D. (OWNER)
(914) 772-2244
Entity
Organization
Contact information
Practice address
1000 HIGH ST, PORT CHESTER, NY 10573-4402
(914) 772-2244
Mailing address
31 PROSPECT AVE, LARCHMONT, NY 10538-4151
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
198461
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01618386
—
NY
Enumeration date
06/24/2008
Last updated
11/14/2016
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