Provider Demographics
NPI:1760370431
Name:GETTYS, YASHIAH ZHANE
Entity type:Individual
Prefix:
First Name:YASHIAH
Middle Name:ZHANE
Last Name:GETTYS
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 1:120 BEACH 19TH ST APT 14D
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-3712
Mailing Address - Country:US
Mailing Address - Phone:347-203-5154
Mailing Address - Fax:
Practice Address - Street 1:120 BEACH 19TH ST APT 14D
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-3712
Practice Address - Country:US
Practice Address - Phone:347-203-5154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator