Provider Demographics
NPI:1568442408
Name:YOLOWITZ, SARAJANE (MD)
Entity Type:Individual
Prefix:
First Name:SARAJANE
Middle Name:
Last Name:YOLOWITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 WALL ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-1304
Mailing Address - Country:US
Mailing Address - Phone:212-785-0284
Mailing Address - Fax:646-380-1150
Practice Address - Street 1:40 WALL ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-1304
Practice Address - Country:US
Practice Address - Phone:212-785-0284
Practice Address - Fax:646-380-1150
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY170241207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE45180Medicare UPIN
NJ103496PE9Medicare ID - Type Unspecified