Provider Demographics
NPI:1750024113
Name:AG YES LLC
Entity Type:Organization
Organization Name:AG YES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,DIETITIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JINNY
Authorized Official - Middle Name:
Authorized Official - Last Name:GERSTLE
Authorized Official - Suffix:
Authorized Official - Credentials:EDE,CDN,RDN
Authorized Official - Phone:914-949-4296
Mailing Address - Street 1:338 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2138
Mailing Address - Country:US
Mailing Address - Phone:914-949-4296
Mailing Address - Fax:914-831-1663
Practice Address - Street 1:338 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:WEST HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-2138
Practice Address - Country:US
Practice Address - Phone:914-949-4296
Practice Address - Fax:914-831-1663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty