Individual
EDWARD JOHN YATCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, SUITE 1700, HAWTHORNE, NY 10532-2140
(914) 347-0162
(914) 347-4401
Mailing address
22 SAW MILL RIVER RD, HAWTHORNE, NY 10532-1533
(914) 593-1606
(914) 593-1790
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
226637
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02472920
—
NY
Enumeration date
09/01/2005
Last updated
07/11/2007
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