Provider Demographics
NPI:1598383762
Name:RODNEY, YVONNE ROSEMARIE
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:ROSEMARIE
Last Name:RODNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 E 51ST ST APT 7J
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-2231
Mailing Address - Country:US
Mailing Address - Phone:718-241-4672
Mailing Address - Fax:
Practice Address - Street 1:1623 UTICA AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-1524
Practice Address - Country:US
Practice Address - Phone:718-258-2716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator