Provider Demographics
NPI:1780159962
Name:YUNATA CORP
Entity type:Organization
Organization Name:YUNATA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIDVALNA
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED
Authorized Official - Phone:347-251-8932
Mailing Address - Street 1:1800 E 18TH ST APT C6
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2189
Mailing Address - Country:US
Mailing Address - Phone:347-251-8932
Mailing Address - Fax:
Practice Address - Street 1:704 AVENUE X
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6121
Practice Address - Country:US
Practice Address - Phone:347-251-8932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency