Yoffa, Jack Edward

Yoffa, Jack Edward is an individual health care provider with primary practice located at 824 Franklin Park Dr , East Syracuse NY 13057-1614. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Yoffa, Jack Edward can be contacted via phone (315) 432-1048.

Contact Information

Primary practice address
824 Franklin Park Dr East Syracuse NY 13057-1614
Phone: (315) 432-1048
Fax: (315) 432-9219
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 106115-1 New York

Profile Details

NPI number 1194838334
LBN Legal business name Yoffa, Jack Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jan 6th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194838334 NPPES
New York MEDICAID 00572349

Popular Providers