Healthcare Provider Details

I. General information

NPI: 1215850920
Provider Name (Legal Business Name): YCO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 KERESTIER CT
MONROE NY
10950-1933
US

IV. Provider business mailing address

6 KERESTIER CT
MONROE NY
10950-1933
US

V. Phone/Fax

Practice location:
  • Phone: 347-831-4952
  • Fax:
Mailing address:
  • Phone: 347-831-4952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: WOLF RETEK
Title or Position: PRESIDENT
Credential:
Phone: 347-831-4952