Konstantin Yeretsky, MD

NPI #1134211741 in Lake Success, New York

Provider Information

NPI Number: 1134211741
Entity Type: Individual
Name: Konstantin Yeretsky, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Sep 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2800 MARCUS AVENUE
City: Lake Success
State: New York
ZIP Code: 11042
Phone: (516) 622-7405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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