Provider Demographics
NPI:1962853416
Name:DARRON YELLING DO, PC
Entity type:Organization
Organization Name:DARRON YELLING DO, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARRON
Authorized Official - Middle Name:
Authorized Official - Last Name:YELLING
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:917-992-8049
Mailing Address - Street 1:305 NORTHEN BLVD
Mailing Address - Street 2:105
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021
Mailing Address - Country:US
Mailing Address - Phone:516-472-0660
Mailing Address - Fax:631-350-7031
Practice Address - Street 1:305 NORTHEN BLVD
Practice Address - Street 2:105
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-472-0660
Practice Address - Fax:631-350-7031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY264448208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty