Healthcare Provider Details

I. General information

NPI: 1033081872
Provider Name (Legal Business Name): YVANNA DELL KENAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 N PLANK RD
NEWBURGH NY
12550-2120
US

IV. Provider business mailing address

236 MAIN ST
NEW PALTZ NY
12561-1314
US

V. Phone/Fax

Practice location:
  • Phone: 845-926-3600
  • Fax: 845-926-3606
Mailing address:
  • Phone: 845-255-9210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number073263
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: