Basic Information
| Provider Information | |||||||||
| NPI: | 1780676544 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YEATON | ||||||||
| FirstName: | HOWARD | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 115 PORTER DR | ||||||||
| Address2: | |||||||||
| City: | MIDDLEBURY | ||||||||
| State: | VT | ||||||||
| PostalCode: | 057538423 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8023884701 | ||||||||
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| Practice Location | |||||||||
| Address1: | 211 CHURCH STREET | ||||||||
| Address2: | SARATOGA HOSPITAL | ||||||||
| City: | SARATOGA SPRINGS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 128661003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5185838343 | ||||||||
| FaxNumber: | 5185838386 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2005 | ||||||||
| LastUpdateDate: | 02/01/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 188144 | NY | Y | Other Service Providers | Specialist | 208600000X | 042.0006375 | VT | N | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.