Provider Demographics
NPI:1336647452
Name:VERA, CESAR WINSTON
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:WINSTON
Last Name:VERA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:678 WARBURTON AVE APT 5F
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1620
Mailing Address - Country:US
Mailing Address - Phone:914-649-8420
Mailing Address - Fax:
Practice Address - Street 1:20 S BROADWAY STE 1201
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-3731
Practice Address - Country:US
Practice Address - Phone:914-964-6767
Practice Address - Fax:914-964-8282
Is Sole Proprietor?:No
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health