Provider Demographics
NPI:1659610228
Name:COMEAU, YANIQUE (LPN)
Entity Type:Individual
Prefix:MISS
First Name:YANIQUE
Middle Name:
Last Name:COMEAU
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 1:942 DONALD PL
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-1544
Mailing Address - Country:US
Mailing Address - Phone:347-451-5602
Mailing Address - Fax:
Practice Address - Street 1:942 DONALD PL
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-1544
Practice Address - Country:US
Practice Address - Phone:347-451-5602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY312326-1164W00000X
NY735387163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse