Provider Demographics
NPI:1033886700
Name:RETIG, YOCHEVED
Entity Type:Individual
Prefix:
First Name:YOCHEVED
Middle Name:
Last Name:RETIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 BENNETT AVE APT 3F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-2490
Mailing Address - Country:US
Mailing Address - Phone:646-539-8957
Mailing Address - Fax:
Practice Address - Street 1:295 BENNETT AVE APT 3F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-2490
Practice Address - Country:US
Practice Address - Phone:646-539-8957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool