MEDICARE: YOCHEVED RETIG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041S0200X	School Social Worker

General Provider Information

NPI Number	:	1033886700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOCHEVED RETIG

Provider Business Mailing Address
First Line	:	295 BENNETT AVE APT 3F
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10040-2490
Country	:	US
Telephone Number	:	646-539-8957
Fax Number	:

Provider Business Practice Location Address
First Line	:	295 BENNETT AVE APT 3F
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10040-2490
Country	:	US
Telephone Number	:	646-539-8957
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2021
Last Update Date	:	08/30/2021

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Directions to “ YOCHEVED RETIG ” Practice Location

Language	Start Address	Practice Location

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