Individual
MR. CHRISTOPHER CHARLES YACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., M.S.
Contact information
Practice address
17 PARK AVE, MALVERNE, NY 11565-1916
(516) 837-3343
(516) 837-3343
Mailing address
17 PARK AVE, MALVERNE, NY 11565-1916
(516) 837-3343
(516) 837-3343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2279246
NY
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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