Provider Demographics
NPI:1942461322
Name:VARNADO-RHODES, YAEL SIMONE (MD)
Entity Type:Individual
Prefix:
First Name:YAEL
Middle Name:SIMONE
Last Name:VARNADO-RHODES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1274 1ST AVE
Mailing Address - Street 2:APT 7
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-5619
Mailing Address - Country:US
Mailing Address - Phone:212-717-7620
Mailing Address - Fax:
Practice Address - Street 1:1274 1ST AVE
Practice Address - Street 2:APT 7
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-5619
Practice Address - Country:US
Practice Address - Phone:212-717-7620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242035207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology