Yagoda, Gerald Robert

Yagoda, Gerald Robert is an sole proprietor health care provider with primary practice located at 9 N Main St , East Hampton NY 11937-2632. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Yagoda, Gerald Robert can be contacted via phone (631) 329-0680.

Contact Information

Primary practice address
9 N Main St East Hampton NY 11937-2632
Phone: (631) 329-0680
Fax: (631) 267-6467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4132 New York

Profile Details

NPI number 1871710236
LBN Legal business name Yagoda, Gerald Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871710236 NPPES
New York Other 6894605 GHI
New York Other 137695 GHI

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