Yemalicia Dorosa Bady
Individual provider Active NPI Counselor · Valley Stream, NY
NPI 1336801448 · NPPES record last updated Oct 6, 2021
Key facts
- NPI
- 1336801448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 80 Princeton St
Valley Stream, NY 11580-4837 - Phone
- (917) 495-2247
- NPI assigned
- Oct 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
80 Princeton St
Valley Stream, NY 11580-4837
Mailing address
80 Princeton St
Valley Stream, NY 11580-4837
Phone (917) 495-2247
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2021. 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.