Provider Demographics
NPI:1205293289
Name:YUSTI, ROXANA (MPH)
Entity type:Individual
Prefix:
First Name:ROXANA
Middle Name:
Last Name:YUSTI
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2175 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-4734
Mailing Address - Country:US
Mailing Address - Phone:718-829-2257
Mailing Address - Fax:
Practice Address - Street 1:2175 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-4734
Practice Address - Country:US
Practice Address - Phone:718-829-2257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-22
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator