Provider Demographics
NPI:1851601066
Name:YANKANIN, HELEN ANNE (OTR/L)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:ANNE
Last Name:YANKANIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 DUBOIS ST
Mailing Address - Street 2:
Mailing Address - City:PINE BUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12566-6212
Mailing Address - Country:US
Mailing Address - Phone:845-744-5914
Mailing Address - Fax:
Practice Address - Street 1:944 STATE ROUTE 17K
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:NY
Practice Address - Zip Code:12549-2213
Practice Address - Country:US
Practice Address - Phone:845-457-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-21
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004545-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist