Provider Demographics
NPI:1437224425
Name:YONK, BERNARD BEREL (MD)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:BEREL
Last Name:YONK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:19018 NERO AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1106
Mailing Address - Country:US
Mailing Address - Phone:171-874-0364
Mailing Address - Fax:171-874-0161
Practice Address - Street 1:2355 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3150
Practice Address - Country:US
Practice Address - Phone:171-864-5429
Practice Address - Fax:171-833-6197
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY140237207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB10924Medicare UPIN