Provider Demographics
NPI:1871172130
Name:BRUCE H YAFFE SERVICES, LLC
Entity type:Organization
Organization Name:BRUCE H YAFFE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:H
Authorized Official - Last Name:YAFFE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-655-1396
Mailing Address - Street 1:985 5TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0142
Mailing Address - Country:US
Mailing Address - Phone:917-655-1396
Mailing Address - Fax:
Practice Address - Street 1:985 5TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0142
Practice Address - Country:US
Practice Address - Phone:917-655-1396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty