Healthcare Provider Details

I. General information

NPI: 1023892841
Provider Name (Legal Business Name): YAMELIS CARDOSO GINARTE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 37TH ST
UNION CITY NJ
07087-4994
US

IV. Provider business mailing address

408 37TH ST
UNION CITY NJ
07087-4994
US

V. Phone/Fax

Practice location:
  • Phone: 201-864-4477
  • Fax: 201-864-9727
Mailing address:
  • Phone: 201-864-4477
  • Fax: 201-864-9727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number903569
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: