Provider Demographics
NPI:1407608482
Name:KADISH, YONATON (MD)
Entity Type:Individual
Prefix:DR
First Name:YONATON
Middle Name:
Last Name:KADISH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:YONI
Other - Middle Name:
Other - Last Name:KADISH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:14732 68TH DR APT 2
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2060
Mailing Address - Country:US
Mailing Address - Phone:516-987-2270
Mailing Address - Fax:
Practice Address - Street 1:16 GUION PL
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5502
Practice Address - Country:US
Practice Address - Phone:914-632-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program