Provider Demographics
NPI:1043809643
Name:ROSARIO-ADON, YESSENIA (EDD)
Entity Type:Individual
Prefix:DR
First Name:YESSENIA
Middle Name:
Last Name:ROSARIO-ADON
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1148 E 223RD ST # 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-5833
Mailing Address - Country:US
Mailing Address - Phone:718-798-0810
Mailing Address - Fax:
Practice Address - Street 1:1148 E 223RD ST # 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-5833
Practice Address - Country:US
Practice Address - Phone:718-798-0810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities