Provider Demographics
NPI:1982635926
Name:YASMIN, LAILA (MD)
Entity Type:Individual
Prefix:DR
First Name:LAILA
Middle Name:
Last Name:YASMIN
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 1:10 ROSS CIRCLE
Mailing Address - Street 2:HUDSON RIVER PSYCHIATRIC CENTER
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601
Mailing Address - Country:US
Mailing Address - Phone:845-452-8000
Mailing Address - Fax:
Practice Address - Street 1:10 ROSS CIRCLE
Practice Address - Street 2:HUDSON RIVER PSYCHIATRIC CENTER
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601
Practice Address - Country:US
Practice Address - Phone:845-452-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010822042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2602911682OtherBLUE CROSS BLUE SHIELD
MI4829403Medicaid
MI0P26090Medicare UPIN