Individual
MISS ASTER YERIE FANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
78 TOUISSANT AVE, YONKERS, NY 10710-5425
(224) 622-1842
Mailing address
78 TOUISSANT AVE, YONKERS, NY 10710-5425
(224) 622-1842
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043114855
IL
164W00000X
Licensed Practical Nurse
Primary
310599
NY
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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