Provider Demographics
NPI:1558635920
Name:YASHAYEV, DANIEL (NP-C)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:YASHAYEV
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79-01 BROADWAY ELMHURST
Mailing Address - Street 2:ELMHURST HOSPITAL CENTER - PERIOPERATIVE CARE CENTER
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373
Mailing Address - Country:US
Mailing Address - Phone:718-334-5557
Mailing Address - Fax:
Practice Address - Street 1:79-01 BROADWAY ELMHURST
Practice Address - Street 2:ELMHURST HOSPITAL CENTER - PREOPERATIVE CARE CENTER
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373
Practice Address - Country:US
Practice Address - Phone:718-334-5557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-02
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337203363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily