Provider Demographics
NPI:1801962881
Name:YAFFE, BRUCE H (MD)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:H
Last Name:YAFFE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:YAFFE RUDEN & ASSOCIATES LLP
Mailing Address - Street 2:985 5TH AVE, STE 200
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0142
Mailing Address - Country:US
Mailing Address - Phone:917-655-1396
Mailing Address - Fax:212-249-0426
Practice Address - Street 1:985 5TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0142
Practice Address - Country:US
Practice Address - Phone:917-655-1396
Practice Address - Fax:212-249-0426
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2024-04-29
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Provider Licenses
StateLicense IDTaxonomies
NY1336291207RG0100X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC11789Medicare UPIN
NY68A711Medicare ID - Type Unspecified
NY68A711Medicare PIN