Provider Demographics
NPI:1255130670
Name:YANOSHAK, EMILY CLAIRE (MEDICAL STUDENT (MD))
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:CLAIRE
Last Name:YANOSHAK
Suffix:
Gender:F
Credentials:MEDICAL STUDENT (MD)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 COURT ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-2112
Mailing Address - Country:US
Mailing Address - Phone:814-494-1534
Mailing Address - Fax:
Practice Address - Street 1:1025 WALNUT ST # 100
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5001
Practice Address - Country:US
Practice Address - Phone:215-955-6983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program