Yazdanseta, Vesta

Yazdanseta, Vesta is an individual health care provider with primary practice located at 29 Branch Ln , East Setauket NY 11733-3316. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Yazdanseta, Vesta can be contacted via phone (631) 681-9228.

Contact Information

Primary practice address
29 Branch Ln East Setauket NY 11733-3316
Fax: (631) 681-9228
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 622666-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X F307382-1 New York

Profile Details

NPI number 1407174956
LBN Legal business name Yazdanseta, Vesta
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2010
Last updated Jul 21st, 2022 - about 3 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 1407174956 NPPES
New York MEDICAID F307382-1

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