Individual
YEHUDA DAVID ELIEZRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7 MEDICAL PARK DR, POMONA, NY 10970-3562
(845) 354-1169
(845) 362-5126
Mailing address
7 MEDICAL PARK DR, POMONA, NY 10970-3562
(845) 354-1169
(845) 362-5126
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
154268
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164509246
EMPIRE BC/BS
NY
Enumeration date
06/09/2006
Last updated
12/16/2021
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