Provider Demographics
NPI:1437886835
Name:YINTOK, TENZIN (LPN)
Entity Type:Individual
Prefix:
First Name:TENZIN
Middle Name:
Last Name:YINTOK
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3351 84TH ST APT 2D
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-1517
Mailing Address - Country:US
Mailing Address - Phone:347-608-7625
Mailing Address - Fax:
Practice Address - Street 1:3351 84TH ST APT 2D
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-1517
Practice Address - Country:US
Practice Address - Phone:347-608-7625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY342388-01164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse