Provider Demographics
NPI:1215072830
Name:YANOWSKY, WILLIAM (ATC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:YANOWSKY
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4252 CRESCENDO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95136-2113
Mailing Address - Country:US
Mailing Address - Phone:408-504-9866
Mailing Address - Fax:
Practice Address - Street 1:4252 CRESCENDO AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95136-2113
Practice Address - Country:US
Practice Address - Phone:408-504-9866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist