Individual
YOEL WARTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
100 N VILLAGE AVE STE 27, ROCKVILLE CENTRE, NY 11570-3712
(516) 784-0377
Mailing address
2 HAZEL PL, WOODMERE, NY 11598-1108
(516) 784-0377
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402792
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05911624
—
NY
Enumeration date
08/01/2019
Last updated
08/19/2020
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