Provider Demographics
NPI:1457391856
Name:PRESCHEL, YOHANAN (MD)
Entity Type:Individual
Prefix:DR
First Name:YOHANAN
Middle Name:
Last Name:PRESCHEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8906 135TH AVE
Mailing Address - Street 2:7L
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11417-2400
Mailing Address - Country:US
Mailing Address - Phone:718-206-6984
Mailing Address - Fax:
Practice Address - Street 1:1 BROOKDALE PLZ
Practice Address - Street 2:12TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3139
Practice Address - Country:US
Practice Address - Phone:718-240-5691
Practice Address - Fax:718-240-5986
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1928382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01859916Medicaid
NY60M281Medicare ID - Type Unspecified
NY01859916Medicaid