NPI 1003124165

Yelena Pyatov, MD

Practitioner Family Medicine Physician New Hyde Park, NY

Practice location

Address: 27005 76th Ave Department of Pediatrics, New Hyde Park, NY 11040-1402
Phone: (718) 470-7700
Mailing address: 6798 Dartmouth St, Forest Hills, NY 11375-4148

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 25MA09314400 (NJ)

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Registry record

NPI: 1003124165
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2010
Record last updated: 12 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.