Provider Demographics
NPI:1912208612
Name:YARMUSH, YEHUDA
Entity Type:Individual
Prefix:MR
First Name:YEHUDA
Middle Name:
Last Name:YARMUSH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 TRUMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5662
Mailing Address - Country:US
Mailing Address - Phone:845-642-2121
Mailing Address - Fax:
Practice Address - Street 1:12 TRUMAN AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5662
Practice Address - Country:US
Practice Address - Phone:845-642-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other