Provider Demographics
NPI:1689166282
Name:ALCANTARA, YUNET (DENTAL HYGIENIST)
Entity Type:Individual
Prefix:
First Name:YUNET
Middle Name:
Last Name:ALCANTARA
Suffix:
Gender:F
Credentials:DENTAL HYGIENIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LINCOLN HOSPITAL 234 E. 149 ST.
Mailing Address - Street 2:AMBULATORY CARE ADMINISTRATION 2ND FLOOR ANNEX
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451
Mailing Address - Country:US
Mailing Address - Phone:718-579-4657
Mailing Address - Fax:718-579-4744
Practice Address - Street 1:LINCOLN HOSPITAL
Practice Address - Street 2:234 E. 149 ST.
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-579-4657
Practice Address - Fax:718-579-4744
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025594-1124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist