Healthcare Provider Details

I. General information

NPI: 1073780219
Provider Name (Legal Business Name): BARBARA YEHASKEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2008
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 WESTCHESTER SQ
BRONX NY
10461
US

IV. Provider business mailing address

325 W 93RD ST APT 22
NEW YORK NY
10025-7258
US

V. Phone/Fax

Practice location:
  • Phone: 718-931-4045
  • Fax: 718-828-1318
Mailing address:
  • Phone: 201-873-7578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: