Provider Demographics
NPI:1821178476
Name:YADIN, ZVI STEVE (PHD NP)
Entity Type:Individual
Prefix:DR
First Name:ZVI
Middle Name:STEVE
Last Name:YADIN
Suffix:
Gender:M
Credentials:PHD NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 REDWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2718
Mailing Address - Country:US
Mailing Address - Phone:631-360-3330
Mailing Address - Fax:631-297-8444
Practice Address - Street 1:21 REDWOOD LN
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2718
Practice Address - Country:US
Practice Address - Phone:631-360-3330
Practice Address - Fax:631-297-8444
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011739-1103TC0700X
NYF400794-1363LP0808X
NY533159163W00000X
NYF305760-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400128237Medicare PIN
NYR93934Medicare UPIN