Provider Demographics
NPI:1023204013
Name:YUVIENCO, FRANCISCO P (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:P
Last Name:YUVIENCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 E 12TH ST
Mailing Address - Street 2:SUITE 1G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-9151
Mailing Address - Country:US
Mailing Address - Phone:212-254-8930
Mailing Address - Fax:212-473-3158
Practice Address - Street 1:232 E 12TH ST
Practice Address - Street 2:SUITE 1G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-9151
Practice Address - Country:US
Practice Address - Phone:212-254-8930
Practice Address - Fax:212-473-3158
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY124373208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00233321Medicaid
NY01HCSBMedicare PIN
NYB12625Medicare UPIN
NY00233321Medicaid
NY01HCPLMedicare PIN