Provider Demographics
NPI:1346338506
Name:CHESNA, YVONNE LOZANO (NP)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:LOZANO
Last Name:CHESNA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:YVONNE
Other - Middle Name:PATRICIA
Other - Last Name:LOZANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:2220 VESTAL PKWY E FL 2
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-1947
Mailing Address - Country:US
Mailing Address - Phone:607-306-7546
Mailing Address - Fax:607-821-7848
Practice Address - Street 1:2220 VESTAL PKWY E FL 2
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850
Practice Address - Country:US
Practice Address - Phone:607-306-7546
Practice Address - Fax:607-821-7848
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3317261363LF0000X
TX813219363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
J400142858Medicare PIN
S55825Medicare UPIN
TX265300YMVTMedicare PIN
S55825Medicare UPIN