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Individual

YEHUDIT POLLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
22 SAW MILL RIVER RD, 2ND FLOOR, HAWTHORNE, NY 10532-1533
(914) 593-1606
(914) 593-1790
Mailing address
19 BRADHURST AVE, SUITE 1400, HAWTHORNE, NY 10532-2140
(914) 493-7585
(914) 594-2350

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
257884
NY
2080P0214X
Pediatric Pulmonology Physician
Primary
257884
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03302063
NY
01
A400043248
MEDICARE PTAN
NY
01
A400106240
MEDICARE PTAN
NY
Enumeration date
11/23/2010
Last updated
06/25/2015
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