Provider Demographics
NPI:1417631979
Name:YOSHIDA, DEMI (MSW)
Entity Type:Individual
Prefix:MS
First Name:DEMI
Middle Name:
Last Name:YOSHIDA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 SPENCER ST APT 4
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-4563
Mailing Address - Country:US
Mailing Address - Phone:808-554-4040
Mailing Address - Fax:
Practice Address - Street 1:220 SPENCER ST APT 4
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-4563
Practice Address - Country:US
Practice Address - Phone:808-554-4040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)