Provider Demographics
NPI:1013332121
Name:KARIYEVA, YANA
Entity Type:Individual
Prefix:
First Name:YANA
Middle Name:
Last Name:KARIYEVA
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 1:15022 MELBOURNE AVE APT 374A
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1439
Mailing Address - Country:US
Mailing Address - Phone:646-321-0099
Mailing Address - Fax:
Practice Address - Street 1:15022 MELBOURNE AVE APT 374A
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1439
Practice Address - Country:US
Practice Address - Phone:646-321-0099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY600787163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool