Provider Demographics
NPI:1104165380
Name:YUHASZ, EMORY JAMES (BS)
Entity type:Individual
Prefix:MR
First Name:EMORY
Middle Name:JAMES
Last Name:YUHASZ
Suffix:
Gender:M
Credentials:BS
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:ELIZABETH
Other - Last Name:YUHASZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS
Mailing Address - Street 1:11050 MOUNT BELVEDERE BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT DRUM
Mailing Address - State:NY
Mailing Address - Zip Code:13602-5438
Mailing Address - Country:US
Mailing Address - Phone:315-772-0668
Mailing Address - Fax:315-772-1691
Practice Address - Street 1:11050 MOUNT BELVEDERE BLVD
Practice Address - Street 2:
Practice Address - City:FORT DRUM
Practice Address - State:NY
Practice Address - Zip Code:13602-5438
Practice Address - Country:US
Practice Address - Phone:315-772-0668
Practice Address - Fax:315-772-1691
Is Sole Proprietor?:No
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029019-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist