Provider Demographics
NPI:1407645815
Name:TOLEDO, YAHAIRA (PA-C)
Entity type:Individual
Prefix:
First Name:YAHAIRA
Middle Name:
Last Name:TOLEDO
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3751 RIVERDALE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1815
Mailing Address - Country:US
Mailing Address - Phone:718-249-2201
Mailing Address - Fax:646-829-9230
Practice Address - Street 1:3751 RIVERDALE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1815
Practice Address - Country:US
Practice Address - Phone:718-249-2201
Practice Address - Fax:646-829-9230
Is Sole Proprietor?:No
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033783363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant