Individual
MRS. HEIDI MARIE YULICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTER, NEW YORK, NY 10065-6007
(212) 639-8892
(212) 717-3568
Mailing address
172 E 91ST ST APT 5B, NEW YORK, NY 10128-2447
(212) 828-4890
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F304543
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
F340634
NY
Other
Enumeration date
01/15/2007
Last updated
09/01/2009
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