Provider Demographics
NPI:1750939914
Name:YONKERS, PAUL CLEMENT (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:CLEMENT
Last Name:YONKERS
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 1:13G ESSEX PL
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-1619
Mailing Address - Country:US
Mailing Address - Phone:845-891-0091
Mailing Address - Fax:
Practice Address - Street 1:13G ESSEX PL
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-1619
Practice Address - Country:US
Practice Address - Phone:845-891-0091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0-625-369-4208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
0-625-369-4OtherUSMLE