Provider Demographics
NPI:1407352271
Name:RE'EM, YOCHAI A (MD)
Entity Type:Individual
Prefix:
First Name:YOCHAI
Middle Name:A
Last Name:RE'EM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:YOCHAI
Other - Middle Name:A
Other - Last Name:REEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:67 IRVING PL FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2237
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:67 IRVING PL FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2237
Practice Address - Country:US
Practice Address - Phone:646-397-1559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3000372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY300037OtherNEW YORK STATE MEDICAL LICENSE