Healthcare Provider Details

I. General information

NPI: 1306088042
Provider Name (Legal Business Name): YESTERMORROW PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2009
Last Update Date: 04/13/2020
Certification Date: 04/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 MAIN ST SUITE #18
EAST GREENWICH RI
02818-3161
US

IV. Provider business mailing address

1050 MAIN ST SUITE #18
EAST GREENWICH RI
02818-3161
US

V. Phone/Fax

Practice location:
  • Phone: 401-886-9669
  • Fax: 401-886-9779
Mailing address:
  • Phone: 401-886-9669
  • Fax: 401-886-9779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License NumberMD10390
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD11488
License Number StateRI

VIII. Authorized Official

Name: JENNIFER PIACITELLI
Title or Position: OFFICE MANAGER
Credential:
Phone: 401-886-9669