Provider Demographics
NPI:1306198643
Name:VASQUEZ, YUDELKA A (MS EARLYCHILDHOOD ED)
Entity Type:Individual
Prefix:MS
First Name:YUDELKA
Middle Name:A
Last Name:VASQUEZ
Suffix:
Gender:F
Credentials:MS EARLYCHILDHOOD ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 GRAND CONCOURSE APT 1A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-1231
Mailing Address - Country:US
Mailing Address - Phone:917-557-6806
Mailing Address - Fax:
Practice Address - Street 1:3205 GRAND CONCOURSE APT 1A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-1231
Practice Address - Country:US
Practice Address - Phone:917-557-6806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist