Basic Information
| Provider Information | |||||||||
| NPI: | 1407019896 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YEAGER | ||||||||
| FirstName: | LAUREN | ||||||||
| MiddleName: | BETH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 635 W 165TH ST | ||||||||
| Address2: | HARKNESS EYE INSTITUTE | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100323797 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2123056709 | ||||||||
| FaxNumber: | 2123055523 | ||||||||
| Practice Location | |||||||||
| Address1: | 635 W 165TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100323797 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2123059535 | ||||||||
| FaxNumber: | 2123055523 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2008 | ||||||||
| LastUpdateDate: | 02/16/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207WX0110X | 252042 | NY | N | 207W00000X | 252042 | NY | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.