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Contact Information

STACY M YEARWOOD, M.D., M.P.H.
1 BARSTOW ROAD
STE P24
GREAT NECK, NY11021
 Phone: 516-417-4077
 Fax: 888-608-9321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Adult Mental Health

261QM0850X
Indicates primary specialty

NPI Profile & details for STACY M YEARWOOD · (Female)

NPI Number 1306053285
Status Active
Credentials M.D., M.P.H.
Entity Individual
Enumeration date 05/17/2007
Last updated 09/05/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 246269
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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