Individual
YNIVE JOVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
(845) 680-7800
Mailing address
20 OLD TURNPIKE RD, STE 307, NANUET, NY 10954-2532
(845) 624-0260
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
815793
NY
164W00000X
Licensed Practical Nurse
309514
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
309514
LICENSED PRACTICAL NURSE
NY
Enumeration date
11/12/2012
Last updated
06/07/2024
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