Provider Demographics
NPI:1417540097
Name:YAEGER, EDWARD J JR (MBA, MPA, MA)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:J
Last Name:YAEGER
Suffix:JR
Gender:M
Credentials:MBA, MPA, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 E 44TH ST STE 401
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-4094
Mailing Address - Country:US
Mailing Address - Phone:917-881-6749
Mailing Address - Fax:
Practice Address - Street 1:144 E 44TH ST STE 401
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4094
Practice Address - Country:US
Practice Address - Phone:917-881-6749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health