Basic Information
Provider Information
NPI: 1225354186
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DREXLER
FirstName: YELENA
MiddleName: REKHTMAN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1450 NW 10TH AVE
Address2:  
City: MIAMI
State: FL
PostalCode: 331361011
CountryCode: US
TelephoneNumber: 3052436251
FaxNumber: 3052433506
Practice Location
Address1: 1450 NW 10TH AVE
Address2:  
City: MIAMI
State: FL
PostalCode: 331361011
CountryCode: US
TelephoneNumber: 3052436251
FaxNumber: 3052433506
Other Information
ProviderEnumerationDate: 04/15/2010
LastUpdateDate: 09/10/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X271108NYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RH0005X271108NYN Allopathic & Osteopathic PhysiciansInternal MedicineHypertension Specialist
207RN0300X271108NYN Allopathic & Osteopathic PhysiciansInternal MedicineNephrology
207RN0300XME136144FLY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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