Yambo, Edwardo Marth
Yambo, Edwardo Marth is an sole proprietor health care provider with primary practice located at 60 E Industry Ct , Deer Park NY 11729-4728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yambo, Edwardo Marth can be contacted via phone (631) 667-0222.Contact Information
Primary practice address
60 E Industry Ct
Deer Park NY 11729-4728
Phone: (631) 667-0222
Fax: (631) 667-0223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 131794 | New York |
Profile Details
| NPI number | 1699711929 |
|---|---|
| LBN Legal business name | Yambo, Edwardo Marth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Oct 29th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699711929 | NPPES |
| New York | MEDICAID | 00635612 |
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