Provider Demographics
NPI:1760578223
Name:KIFFEL, YAKOV S (MD)
Entity Type:Individual
Prefix:
First Name:YAKOV
Middle Name:S
Last Name:KIFFEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WOODWIND LANE
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1614
Mailing Address - Country:US
Mailing Address - Phone:845-364-5437
Mailing Address - Fax:845-362-0589
Practice Address - Street 1:23 ROBERT PITT DR
Practice Address - Street 2:SUITE 109
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-3373
Practice Address - Country:US
Practice Address - Phone:845-364-5437
Practice Address - Fax:845-362-0589
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY209664-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics