Basic Information
| Provider Information | |||||||||
| NPI: | 1689754772 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | MCFARLANE-FERREIRA | ||||||||
| FirstName: | YVONNE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 263 7TH AVE | ||||||||
| Address2: | SUITE 3B | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112153689 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182468540 | ||||||||
| FaxNumber: | 7182468511 | ||||||||
| Practice Location | |||||||||
| Address1: | 501 6TH STREET | ||||||||
| Address2: | EAST PAVILION DEPARTMENT OF PEDIATRICS 5TH FLOOR | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112153689 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187805260 | ||||||||
| FaxNumber: | 7187803266 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2006 | ||||||||
| LastUpdateDate: | 04/03/2012 | ||||||||
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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 | 2080P0206X | 2002201 | NY | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 01588265 | 05 | NY | MEDICAID |