Provider Demographics
NPI:1407943038
Name:YVETTE FASHION INC
Entity Type:Organization
Organization Name:YVETTE FASHION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMECK
Authorized Official - Suffix:
Authorized Official - Credentials:ARIVAY
Authorized Official - Phone:718-229-5724
Mailing Address - Street 1:4013 BELL BLVD
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361
Mailing Address - Country:US
Mailing Address - Phone:718-229-5724
Mailing Address - Fax:718-229-2865
Practice Address - Street 1:4013 BELL BLVD
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361
Practice Address - Country:US
Practice Address - Phone:718-229-5724
Practice Address - Fax:718-229-2865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01947084Medicaid
NY0903280001Medicare ID - Type Unspecified