Provider Demographics
NPI:1174782239
Name:YEDINSKY, SYLVIA S (MD)
Entity type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:S
Last Name:YEDINSKY
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:PO BOX 1080
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05254-1080
Mailing Address - Country:US
Mailing Address - Phone:802-362-1585
Mailing Address - Fax:
Practice Address - Street 1:A8-46 EQUINOX ON THE BATTENKILL
Practice Address - Street 2:
Practice Address - City:MANCHESTER VILLAGE
Practice Address - State:VT
Practice Address - Zip Code:05254-1080
Practice Address - Country:US
Practice Address - Phone:802-362-1585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-00077072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry