Provider Demographics
NPI:1235303249
Name:YASIN, BIBI
Entity Type:Individual
Prefix:MRS
First Name:BIBI
Middle Name:
Last Name:YASIN
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 1:316 5TH AVE
Mailing Address - Street 2:ROOM 404
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3602
Mailing Address - Country:US
Mailing Address - Phone:917-597-3533
Mailing Address - Fax:212-665-6895
Practice Address - Street 1:316 5TH AVE
Practice Address - Street 2:ROOM 404
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3602
Practice Address - Country:US
Practice Address - Phone:917-597-3533
Practice Address - Fax:212-665-6895
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187358164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse