Provider Demographics
NPI:1841355393
Name:YARBERRY-ALLEN, PATRICIA DIANNE (MD, FACOG)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:DIANNE
Last Name:YARBERRY-ALLEN
Suffix:
Gender:F
Credentials:MD, FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 E 90TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0676
Mailing Address - Country:US
Mailing Address - Phone:212-410-4280
Mailing Address - Fax:212-996-2442
Practice Address - Street 1:16 E 90TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0676
Practice Address - Country:US
Practice Address - Phone:212-410-4280
Practice Address - Fax:212-996-2442
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144248207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB78820Medicare UPIN