| Yehuda David Eliezri, MD | |
|
7 Medical Park Dr, Pomona, NY 10970-3562 | |
| (845) 354-1169 | |
| (845) 362-5126 |
| Full Name | Yehuda David Eliezri |
|---|---|
| Gender | Male |
| Speciality | Dermatology - Procedural Dermatology |
| Location | 7 Medical Park Dr, Pomona, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801837240 | NPI | - | NPPES |
| 1164509246 | Other | NY | EMPIRE BC/BS |
| 1164509246 | Other | NY | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | 154268 (New York) | Primary |
| Entity Name | Yehuda D. Eliezri, M.d. P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326077538 PECOS PAC ID: 4880694314 Enrollment ID: O20070108000329 |
| Mailing Address | Practice Location Address |
|---|---|
| Yehuda David Eliezri, MD 7 Medical Park Dr, Pomona, NY 10970-3562 Ph: (845) 354-1169 | Yehuda David Eliezri, MD 7 Medical Park Dr, Pomona, NY 10970-3562 Ph: (845) 354-1169 |
Edward Brady Desciak, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7 Medical Park Dr, Pomona, NY 10970 Phone: 845-354-1169 Fax: 845-362-5126 | |
Dr. Tarek Jeremy Afif, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7a Medical Park Dr, Pomona, NY 10970 Phone: 845-354-1169 Fax: 845-362-5126 |