Provider Demographics
NPI:1891087524
Name:PAZ, YEHUDA EDO (MD)
Entity Type:Individual
Prefix:
First Name:YEHUDA
Middle Name:EDO
Last Name:PAZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:170 MAPLE AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4707
Mailing Address - Country:US
Mailing Address - Phone:914-849-7180
Mailing Address - Fax:914-849-7199
Practice Address - Street 1:170 MAPLE AVE STE 104
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4707
Practice Address - Country:US
Practice Address - Phone:914-849-7180
Practice Address - Fax:914-849-7199
Is Sole Proprietor?:No
Enumeration Date:2011-05-13
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY267052207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease