Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK EDWARD YOFFA, M.D.
DeactivatedJACK EDWARD YOFFA, M.D. is a Legal Medicine healthcare provider located in EAST SYRACUSE, New York. NPI 1194838334 is deactivated in the NPPES registry. Verify at CMS.
Legal Medicine · EAST SYRACUSE, NY
This NPI has been deactivated.
The record was deactivated on December 4, 2015.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1194838334
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2006 (9.3032786885246 yrs)
- Last Updated
- Jan 6, 2016
- Deactivated
- Dec 4, 2015
- License
-
106115-1 (NY)
Practice Information
- Address
-
824 FRANKLIN PARK DREAST SYRACUSE, NY, 130571614Browse NY providers · Browse ZIP 13057
- Phone
- 3154321048
- Fax
- 3154329219
- Primary Specialty
-
Legal Medicine
173000000X
Other Legal Medicine Providers in EAST SYRACUSE, NY
| Name | Credential | NPI |
|---|---|---|
| MR. MARK ANTOSH | M.D. | 1295746584 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.