1689166282 NPI number — YUNET ALCANTARA DENTAL HYGIENIST

Table of content: YUNET ALCANTARA DENTAL HYGIENIST (NPI 1689166282)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689166282 NPI number — YUNET ALCANTARA DENTAL HYGIENIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALCANTARA
Provider First Name:
YUNET
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DENTAL HYGIENIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689166282
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/31/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
LINCOLN HOSPITAL 234 E. 149 ST.
Provider Second Line Business Mailing Address:
AMBULATORY CARE ADMINISTRATION 2ND FLOOR ANNEX
Provider Business Mailing Address City Name:
BRONX
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10451
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-579-4657
Provider Business Mailing Address Fax Number:
718-579-4744

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
LINCOLN HOSPITAL
Provider Second Line Business Practice Location Address:
234 E. 149 ST.
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-579-4657
Provider Business Practice Location Address Fax Number:
718-579-4744
Provider Enumeration Date:
05/31/2018

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: 124Q00000X , with the licence number:  025594-1 , 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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