Healthcare Provider Details

I. General information

NPI: 1619410313
Provider Name (Legal Business Name): YALANDA HOWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2016
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1399 ROUTE 52 STE 105
FISHKILL NY
12524-3250
US

IV. Provider business mailing address

1399 ROUTE 52 STE 105
FISHKILL NY
12524-3250
US

V. Phone/Fax

Practice location:
  • Phone: 845-745-0209
  • Fax: 845-444-3464
Mailing address:
  • Phone: 301-535-7037
  • Fax: 845-444-3464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF307971
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: