Provider Demographics
NPI:1376649129
Name:YAKER, ADAM
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:YAKER
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 1:2245 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2646
Mailing Address - Country:US
Mailing Address - Phone:516-826-5900
Mailing Address - Fax:516-826-6039
Practice Address - Street 1:2245 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-2646
Practice Address - Country:US
Practice Address - Phone:516-826-5900
Practice Address - Fax:516-826-6039
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220372208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics