Jessica Yudin
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Atlantic Beach, NY
NPI 1174181598 · NPPES record last updated May 31, 2019
Key facts
- NPI
- 1174181598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1424 Park St
Atlantic Beach, NY 11509-1626 - Phone
- (516) 551-7653
- NPI assigned
- May 31, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1424 Park St
Atlantic Beach, NY 11509-1626
Mailing address
1424 Park St
Atlantic Beach, NY 11509-1626
Phone (516) 551-7653
Other providers in Atlantic Beach, NY
All providers in Atlantic Beach, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.