Provider Demographics
NPI:1417203548
Name:SHAFRANEK, YVONNE ANN (MSED)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:ANN
Last Name:SHAFRANEK
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 NEPTUNE BLVD APT 3C
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-4644
Mailing Address - Country:US
Mailing Address - Phone:631-943-5395
Mailing Address - Fax:
Practice Address - Street 1:25 NEPTUNE BLVD APT 3C
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-4644
Practice Address - Country:US
Practice Address - Phone:631-943-5395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist