Basic Information
Provider Information
NPI: 1982858031
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEYMAN
FirstName: YULIA
MiddleName: KLEYNER
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1021 DARRINGTON DR STE 101
Address2:  
City: CARY
State: NC
PostalCode: 275138158
CountryCode: US
TelephoneNumber: 9198523999
FaxNumber: 9193789114
Practice Location
Address1: 610 JONES FERRY RD STE 102
Address2:  
City: CARRBORO
State: NC
PostalCode: 275106113
CountryCode: US
TelephoneNumber: 9199291747
FaxNumber: 9199335168
Other Information
ProviderEnumerationDate: 11/14/2008
LastUpdateDate: 01/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X20A10233CAN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X2020-04587NCY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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