Provider Demographics
NPI:1114335486
Name:YOLANDA MICHINSKI
Entity Type:Organization
Organization Name:YOLANDA MICHINSKI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-539-6083
Mailing Address - Street 1:150 MARCY ST
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-3402
Mailing Address - Country:US
Mailing Address - Phone:631-539-6083
Mailing Address - Fax:631-539-6083
Practice Address - Street 1:150 MARCY ST
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-3402
Practice Address - Country:US
Practice Address - Phone:631-539-6083
Practice Address - Fax:631-539-6083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10149091251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health