Yearwood, Renee D.

Yearwood, Renee D. is an individual health care provider with primary practice located at 4422 3Rd Ave 7Th Floor, Eye Clinic, Bronx NY 10457-2545. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Yearwood, Renee D. can be contacted via phone (718) 960-6389.

Contact Information

Primary practice address
4422 3Rd Ave 7Th Floor, Eye Clinic Bronx NY 10457-2545
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV005506 New York

Profile Details

NPI number 1508833260
LBN Legal business name Yearwood, Renee D.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1508833260 NPPES
New York MEDICAID 01484591

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