Provider Demographics
NPI:1225390180
Name:TUCHMAN, YAEL CHANA
Entity Type:Individual
Prefix:MRS
First Name:YAEL
Middle Name:CHANA
Last Name:TUCHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 TRINITY CT
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-4211
Mailing Address - Country:US
Mailing Address - Phone:201-244-0375
Mailing Address - Fax:
Practice Address - Street 1:12 TRINITY CT
Practice Address - Street 2:
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621-4211
Practice Address - Country:US
Practice Address - Phone:201-244-0375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist