Provider Demographics
NPI:1689836017
Name:YAMASHITA, AKINO IRENE (MD)
Entity Type:Individual
Prefix:DR
First Name:AKINO
Middle Name:IRENE
Last Name:YAMASHITA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1735 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5884
Mailing Address - Country:US
Mailing Address - Phone:914-418-5245
Mailing Address - Fax:845-565-3696
Practice Address - Street 1:127 S BROADWAY RM 419
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-4006
Practice Address - Country:US
Practice Address - Phone:914-486-3653
Practice Address - Fax:914-486-7948
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY256108-1207R00000X, 208M00000X
VT0420012088208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY037470275Medicaid
NH32000665Medicaid
VT1019379Medicaid