Provider Demographics
NPI:1922188192
Name:FELMAN, YEHUDI M
Entity Type:Individual
Prefix:
First Name:YEHUDI
Middle Name:M
Last Name:FELMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:YEHUDI
Other - Middle Name:M
Other - Last Name:FELMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8100 BAY PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214
Mailing Address - Country:US
Mailing Address - Phone:718-256-2600
Mailing Address - Fax:718-232-3660
Practice Address - Street 1:8100 BAY PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214
Practice Address - Country:US
Practice Address - Phone:718-256-2600
Practice Address - Fax:718-232-3660
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0922031207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
4C2644OtherHEALTHNET
0050865OtherGHI
K5867OtherOXFORD
092203A18OtherHEALTH FIRST
NYBKX084801OtherAMERICHOICE
NY0467030OtherAETNA
1460885004OtherCIGNA #
913861OtherBLUE CROSS
4C2644OtherGUARDIAN
NY913861Medicare ID - Type Unspecified
C12287Medicare UPIN