Bardouille, Yolanda

Bardouille, Yolanda is an sole proprietor health care provider with primary practice located at 734 Fulton St , Brooklyn NY 11238-1514. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Bardouille, Yolanda can be contacted via phone (718) 638-7356.

Contact Information

Primary practice address
734 Fulton St Brooklyn NY 11238-1514
Phone: (718) 638-7356
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 13-6400434 New York

Profile Details

NPI number 1053858175
LBN Legal business name Bardouille, Yolanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2017
Last updated Jan 26th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053858175 NPPES
New York MEDICAID 13-6400434

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