Provider Demographics
NPI:1457671257
Name:NEAL S. YUDKOFF, DPM, PA
Entity Type:Organization
Organization Name:NEAL S. YUDKOFF, DPM, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:YUDKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-783-5101
Mailing Address - Street 1:119 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4044
Mailing Address - Country:US
Mailing Address - Phone:973-783-5101
Mailing Address - Fax:973-783-2821
Practice Address - Street 1:119 GROVE ST
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-4044
Practice Address - Country:US
Practice Address - Phone:973-783-5101
Practice Address - Fax:973-783-2821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty