Provider Demographics
NPI:1992789374
Name:BURNSTEIN, YOCHANAN (MD)
Entity type:Individual
Prefix:DR
First Name:YOCHANAN
Middle Name:
Last Name:BURNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HATFIELD LANE
Mailing Address - Street 2:EYE PHYSICIANS OF ORANGE COUNTY, PC
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924
Mailing Address - Country:US
Mailing Address - Phone:845-294-5128
Mailing Address - Fax:845-294-1479
Practice Address - Street 1:1 HATFIELD LANE
Practice Address - Street 2:EYE PHYSICIANS OF ORANGE COUNTY, PC
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924
Practice Address - Country:US
Practice Address - Phone:845-294-5128
Practice Address - Fax:845-294-1479
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1962620207W00000X
NY196262207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01870126Medicaid
NYG67744Medicare UPIN
NY01870126Medicaid
9T0301Medicare ID - Type Unspecified