Provider Demographics
NPI:1780901124
Name:YVONNE PINEIRO NP ADULT HEALTH, P.C.
Entity type:Organization
Organization Name:YVONNE PINEIRO NP ADULT HEALTH, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PINEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:631-655-3427
Mailing Address - Street 1:54 FICUS RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11778-9382
Mailing Address - Country:US
Mailing Address - Phone:631-655-3427
Mailing Address - Fax:
Practice Address - Street 1:729 ROANOKE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2729
Practice Address - Country:US
Practice Address - Phone:631-655-3427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF304436-1261QM1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1000XAmbulatory Health Care FacilitiesClinic/CenterMigrant Health