Provider Demographics
NPI:1093119133
Name:MENELAS, YRLINE
Entity Type:Individual
Prefix:MRS
First Name:YRLINE
Middle Name:
Last Name:MENELAS
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 1:32 LENOX RD APT C9
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-2337
Mailing Address - Country:US
Mailing Address - Phone:347-420-8030
Mailing Address - Fax:
Practice Address - Street 1:32 LENOX RD APT C9
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-2337
Practice Address - Country:US
Practice Address - Phone:718-287-0473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY846841163WH0200X
NY319987164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No164W00000XNursing Service ProvidersLicensed Practical Nurse