Provider Demographics
NPI:1033664347
Name:ZUCKERMAN, YVETTE (SPECIAL ED TEACHER)
Entity Type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:
Last Name:ZUCKERMAN
Suffix:
Gender:F
Credentials:SPECIAL ED TEACHER
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:
Other - Last Name:BAROCAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:491 SINCLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-2730
Mailing Address - Country:US
Mailing Address - Phone:347-661-5889
Mailing Address - Fax:
Practice Address - Street 1:491 SINCLAIR AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-2730
Practice Address - Country:US
Practice Address - Phone:347-661-5889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1052069161390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program