Provider Demographics
NPI:1851768394
Name:YUSKEVICH, ANNE
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:YUSKEVICH
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 1:14 ROCKVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5535
Mailing Address - Country:US
Mailing Address - Phone:516-536-1956
Mailing Address - Fax:
Practice Address - Street 1:14 ROCKVILLE AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-5535
Practice Address - Country:US
Practice Address - Phone:516-536-1956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-01
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist