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Individual

DR. YURI TERTILUS JADOTTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD, MPH

Contact information

Practice address
HEALTH SCIENCES CENTER LEVEL 3 SUITE 086, STONY BROOK, NY 11794
(631) 444-3725
(631) 444-7525
Mailing address
HEALTH SCIENCES CENTER LEVEL 3 SUITE 086, STONY BROOK, NY 11794-0001
(631) 444-3725
(631) 444-7525

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
284861
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/01/2010
Last updated
04/15/2022
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