Doctor Name: | DR. SUSAN R YANOFF |
NPI Number: | 1689018038 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.V.M. |
License Number: | 004431 |
Business Practice Address: | 295 Irish Settlement Rd Freeville, NY - 130685633 |
Business Phone Number: | 6078444202 |
Business Fax Number: | |
Mailing Address: | 295 Irish Settlement Rd, FREEVILLE |
State: | NY |
Postal Code: | 130685633 |
Phone Number: | 6078444202 |
Fax Number: | |
NPI Enumeration Date: | 04/28/2013 |
NPI Last Update Date: | 04/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | 004431 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |