1346338506 NPI number — MRS. YVONNE LOZANO CHESNA N.P.

Table of content: MRS. YVONNE LOZANO CHESNA N.P. (NPI 1346338506)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346338506 NPI number — MRS. YVONNE LOZANO CHESNA N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHESNA
Provider First Name:
YVONNE
Provider Middle Name:
LOZANO
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
N.P.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LOZANO
Provider Other First Name:
YVONNE
Provider Other Middle Name:
PATRICIA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1346338506
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/02/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2220 VESTAL PKWY E FL 2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VESTAL
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13850-1947
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
607-306-7546
Provider Business Mailing Address Fax Number:
607-821-7848

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2220 VESTAL PKWY E FL 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VESTAL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-306-7546
Provider Business Practice Location Address Fax Number:
607-821-7848
Provider Enumeration Date:
10/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  F3317261 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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