Provider Demographics
NPI:1407725658
Name:CALDEIRA, YLENIA MARIE
Entity type:Individual
Prefix:
First Name:YLENIA
Middle Name:MARIE
Last Name:CALDEIRA
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 1:118 LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11763-1656
Mailing Address - Country:US
Mailing Address - Phone:631-748-0607
Mailing Address - Fax:
Practice Address - Street 1:118 LINCOLN RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NY
Practice Address - Zip Code:11763-1656
Practice Address - Country:US
Practice Address - Phone:631-748-0607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY693980163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy