Provider Demographics
NPI:1023458809
Name:YELLINEK, SHLOMO (MD)
Entity type:Individual
Prefix:DR
First Name:SHLOMO
Middle Name:
Last Name:YELLINEK
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 1:1245 PARK AVE APT 1F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1736
Mailing Address - Country:US
Mailing Address - Phone:347-567-8219
Mailing Address - Fax:
Practice Address - Street 1:1245 PARK AVE APT 1F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1736
Practice Address - Country:US
Practice Address - Phone:347-567-8219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist