Provider Demographics
NPI:1962645663
Name:DUCHEIN, YVETTE A'LEX (ANP/GNP)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:A'LEX
Last Name:DUCHEIN
Suffix:
Gender:F
Credentials:ANP/GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-3669
Mailing Address - Country:US
Mailing Address - Phone:646-688-3145
Mailing Address - Fax:212-463-8579
Practice Address - Street 1:395 HUDSON ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-3669
Practice Address - Country:US
Practice Address - Phone:646-688-3145
Practice Address - Fax:212-463-8579
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30304943363LA2200X
NY34340718363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology