Healthcare Provider Details

I. General information

NPI: 1548890148
Provider Name (Legal Business Name): YOUNIQUE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2020
Last Update Date: 08/24/2020
Certification Date: 08/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10231 92ND AVE
RICHMOND HILL NY
11418-2906
US

IV. Provider business mailing address

10231 92ND AVE
RICHMOND HILL NY
11418-2906
US

V. Phone/Fax

Practice location:
  • Phone: 718-441-8267
  • Fax:
Mailing address:
  • Phone: 718-441-8267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIA S VICIOSO
Title or Position: CEO
Credential: MSED
Phone: 718-441-8267