Provider Demographics
NPI:1548979313
Name:YONA YAMIN, EYAL
Entity type:Individual
Prefix:MR
First Name:EYAL
Middle Name:
Last Name:YONA YAMIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 W 112TH ST APT 8D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1647
Mailing Address - Country:US
Mailing Address - Phone:412-294-2069
Mailing Address - Fax:
Practice Address - Street 1:101 N 10TH ST APT 304
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-1910
Practice Address - Country:US
Practice Address - Phone:917-446-9868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007162171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist