Provider Demographics
NPI:1760983696
Name:DAVID YORIO DO
Entity Type:Organization
Organization Name:DAVID YORIO DO
Other - Org Name:WYCKOFF FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:YORIO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:201-560-0001
Mailing Address - Street 1:385 CLINTON AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-1934
Mailing Address - Country:US
Mailing Address - Phone:201-560-0001
Mailing Address - Fax:201-560-0012
Practice Address - Street 1:385 CLINTON AVE STE 3
Practice Address - Street 2:
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481-1934
Practice Address - Country:US
Practice Address - Phone:201-560-0001
Practice Address - Fax:201-560-0012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-26
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07947800207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty