Basic Information
| Provider Information | |||||||||
| NPI: | 1891087524 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PAZ | ||||||||
| FirstName: | YEHUDA | ||||||||
| MiddleName: | EDO | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 99 BUSINESS PARK DR | ||||||||
| Address2: | |||||||||
| City: | ARMONK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105041720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9148497900 | ||||||||
| FaxNumber: | 9148497995 | ||||||||
| Practice Location | |||||||||
| Address1: | 125 W 25TH ST FL 7 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100017247 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5162106767 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/13/2011 | ||||||||
| LastUpdateDate: | 05/16/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 267052 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.