Individual
MR. JONATHAN O YEDVAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
4727 LITTLE NECK PKWY, APARTMENT 4G, LITTLE NECK, NY 11362-1408
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305706
NY
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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