Provider Demographics
NPI:1609528371
Name:YGM INTERNATIONAL WOUND CARE CLINIC AND MOBILE WOUND CARE SERVICES LLC
Entity Type:Organization
Organization Name:YGM INTERNATIONAL WOUND CARE CLINIC AND MOBILE WOUND CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN-MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-328-2015
Mailing Address - Street 1:6 GRAMATAN AVE STE 511
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-3208
Mailing Address - Country:US
Mailing Address - Phone:914-484-8762
Mailing Address - Fax:494-437-8516
Practice Address - Street 1:6 GRAMATAN AVE STE 511
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-3208
Practice Address - Country:US
Practice Address - Phone:914-484-8762
Practice Address - Fax:949-437-8516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty