Villena, Yolanda Mary

Villena, Yolanda Mary is an individual health care provider with primary practice located at 829 President Street , Brooklyn NY 11215-1405. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Villena, Yolanda Mary can be contacted via phone (718) 638-8015.

Contact Information

Primary practice address
829 President Street Brooklyn NY 11215-1405
Fax: (718) 230-0464
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 012012 New York

Profile Details

NPI number 1336109487
LBN Legal business name Villena, Yolanda Mary
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated May 27th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336109487 NPPES
New York MEDICAID 01475290

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