Provider Demographics
NPI:1750575759
Name:YELLOZ, ANNA H (MD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:H
Last Name:YELLOZ
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 1:1425 54TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4228
Mailing Address - Country:US
Mailing Address - Phone:718-438-0666
Mailing Address - Fax:718-437-6385
Practice Address - Street 1:1425 54TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4228
Practice Address - Country:US
Practice Address - Phone:718-438-0666
Practice Address - Fax:718-437-6385
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-01
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258524208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics