Basic Information
| Provider Information | |||||||||
| NPI: | 1295959898 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YANKE | ||||||||
| FirstName: | BRENT | ||||||||
| MiddleName: | VINCENT | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 38 6TH AVE FL 2 | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112174187 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182307788 | ||||||||
| FaxNumber: | 7182308017 | ||||||||
| Practice Location | |||||||||
| Address1: | 175 REMSEN ST STE 1225 | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112014320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6317513000 | ||||||||
| FaxNumber: | 6315096559 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/13/2007 | ||||||||
| LastUpdateDate: | 04/15/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | 235969 | NY | Y | Allopathic & Osteopathic Physicians | Urology |
No ID Information.