Provider Demographics
NPI:1649373168
Name:YUSUF, YASMIN (MD)
Entity type:Individual
Prefix:DR
First Name:YASMIN
Middle Name:
Last Name:YUSUF
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 1:506 TUDOR HL
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-5936
Mailing Address - Country:US
Mailing Address - Phone:845-425-6383
Mailing Address - Fax:
Practice Address - Street 1:95 GRASSLANDS ROAD
Practice Address - Street 2:ANATOMIC PATHOLOGY
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-559-1025
Practice Address - Fax:914-439-1145
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188213207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY82442Medicare ID - Type Unspecified
NYF52856Medicare UPIN