Individual
KEVIN JACOB YEROUSHALMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
496 COUNTY ROAD 111 BLDG D2, MANORVILLE, NY 11949-3387
(631) 591-2901
(631) 591-2904
Mailing address
1 HEROES WAY, RIVERHEAD, NY 11901-2054
(631) 548-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
299499
NY
207RG0100X
Gastroenterology Physician
Primary
299499
NY
207RG0100X
Gastroenterology Physician
ME160385
FL
Other
Enumeration date
04/04/2016
Last updated
10/08/2024
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