Provider Demographics
NPI:1396921466
Name:WEBBE, YVONNE M (RD)
Entity type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:M
Last Name:WEBBE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14725 NORTHERN BLVD
Mailing Address - Street 2:3T
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4344
Mailing Address - Country:US
Mailing Address - Phone:718-353-6375
Mailing Address - Fax:718-963-6487
Practice Address - Street 1:14725 NORTHERN BLVD
Practice Address - Street 2:3T
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4344
Practice Address - Country:US
Practice Address - Phone:718-353-6375
Practice Address - Fax:718-963-6487
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric