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Contact Information

YULIYA DEMENTYEVA, MD
703 MAIN ST
PATERSON, NJ07503-2621
 Phone: 973-754-3298
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for YULIYA DEMENTYEVA · (Female)

NPI # 1811192255
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2007
Last updated 07/12/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA08302400
  • NJ Medicaid 153079
Hospital affiliation(s)
  • ST JOSEPH'S REGIONAL MEDICAL CENTER - (Acute Care)
    703 MAIN ST
    PATERSON, NJ 07503
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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