Provider Demographics
NPI:1871703827
Name:GEFFEN, YONA KATZBURG (DC)
Entity type:Individual
Prefix:DR
First Name:YONA
Middle Name:KATZBURG
Last Name:GEFFEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CHESTNUT GROVE CT
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-2713
Mailing Address - Country:US
Mailing Address - Phone:845-634-3597
Mailing Address - Fax:845-639-0891
Practice Address - Street 1:978 ROUTE 45
Practice Address - Street 2:SUITE 109
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3521
Practice Address - Country:US
Practice Address - Phone:845-354-6488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005610-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor