Provider Demographics
NPI:1285037309
Name:YASHA MAGYAR DO PC
Entity Type:Organization
Organization Name:YASHA MAGYAR DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YASHA MAGYAR
Authorized Official - Middle Name:D
Authorized Official - Last Name:PC
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:646-467-2737
Mailing Address - Street 1:369 LEXINGTON AVE
Mailing Address - Street 2:18B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6506
Mailing Address - Country:US
Mailing Address - Phone:646-467-2737
Mailing Address - Fax:888-277-9455
Practice Address - Street 1:369 LEXINGTON AVE
Practice Address - Street 2:18B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6506
Practice Address - Country:US
Practice Address - Phone:646-467-2737
Practice Address - Fax:888-277-9455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261708208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty