Provider Demographics
NPI:1649532359
Name:YAREMA, RITA M (MA)
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:M
Last Name:YAREMA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 WELLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EAST YAPHANK
Mailing Address - State:NY
Mailing Address - Zip Code:11967-1327
Mailing Address - Country:US
Mailing Address - Phone:631-775-9163
Mailing Address - Fax:
Practice Address - Street 1:395 WELLWOOD DR
Practice Address - Street 2:
Practice Address - City:EAST YAPHANK
Practice Address - State:NY
Practice Address - Zip Code:11967-1327
Practice Address - Country:US
Practice Address - Phone:631-775-9163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-10
Last Update Date:2012-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY797154174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist