Healthcare Provider Details

I. General information

NPI: 1437315256
Provider Name (Legal Business Name): YINESKA FLORES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2008
Last Update Date: 07/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1028 E 179TH ST
BRONX NY
10460-2222
US

IV. Provider business mailing address

151 E 67TH ST
NEW YORK NY
10065-5964
US

V. Phone/Fax

Practice location:
  • Phone: 718-842-0200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number160012-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: