Provider Demographics
NPI:1326461195
Name:FERNANDEZ, YESBEL M (RN)
Entity Type:Individual
Prefix:
First Name:YESBEL
Middle Name:M
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 WEST PROSPECT AVENUE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550
Mailing Address - Country:US
Mailing Address - Phone:914-699-0022
Mailing Address - Fax:914-699-2154
Practice Address - Street 1:740 RIVERSIDE DR
Practice Address - Street 2:APART # 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-1400
Practice Address - Country:US
Practice Address - Phone:347-417-4661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-29
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY317097-1251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care