Person
Screen this subjectEDWARDO MARTH YAMBO
Debarred entityBorn 14 Sep 1948 (78 years old),United States. Named in 3 sanctions listings.
Sanctions and listings3
- Effective
- 22 Apr 2019
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 19 Mar 2020
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a1
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Listed
- 10 Mar 2020
- Effective
- 10 Feb 2020
Positions held1
Period not retained
FAMILY PRACTICE (PHYSICIAN (MD, DO))
Identifiers2
| Identifier | Number |
|---|---|
| ID number | 00131794 |
| NPI number | 1699711929 |
Other names2
Also known as2
EDWARDO M YAMBOYAMBO EDWARDO M
Addresses2
LAKE GROOVE, NY 11755
6 BEA STREET, LAKE GROVE, NY 11755
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