Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 336616 | NY |
NPI | 1285901272 |
---|---|
Provider Name | Miss Sherry Yasin |
First Address | Bronx, NY 10466-4104 |
Second Address | New York, NY 10016-6401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2011 |
Last Update Date | 03/10/2013 |