Individual
DR. EDWARDO MARTH YAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 E INDUSTRY CT, DEER PARK, NY 11729-4728
(631) 667-0222
(631) 667-0223
Mailing address
60 EAST INDUSTRY CT, DEER PARK, NY 11729
(631) 667-0222
(631) 667-0223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
131794
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00635612
—
NY
Enumeration date
06/22/2006
Last updated
10/29/2010
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