Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Konstantin Yeretsky, MD

Individual provider Anesthesiology Physician · NPI 1134211741

Konstantin Yeretsky, MD is an Anesthesiology Physician in Lake Success, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2800 Marcus Ave
Lake Success, NY 11042
Phone: (516) 622-7405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 217992 (NY)

Record details

NPI number1134211741
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 29, 2006
Last updated in NPPESJuly 8, 2007

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