Provider Demographics
NPI:1538382718
Name:YERO, SERGIO ALBERTO (MD)
Entity type:Individual
Prefix:
First Name:SERGIO
Middle Name:ALBERTO
Last Name:YERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 HARRISTOWN RD STE 101
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07452-3317
Mailing Address - Country:US
Mailing Address - Phone:973-735-4324
Mailing Address - Fax:201-857-3419
Practice Address - Street 1:65 HARRISTOWN RD STE 101
Practice Address - Street 2:
Practice Address - City:GLEN ROCK
Practice Address - State:NJ
Practice Address - Zip Code:07452-3317
Practice Address - Country:US
Practice Address - Phone:973-735-4324
Practice Address - Fax:201-857-3419
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA081819002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry