Individual provider · Type 1 NPI

Wilfred Yenko, PHYSICAL EDUCATION

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1780119248 Active

Practice location

213 Osborn Street
Brooklyn, NY 11212

Call (347) 342-2013 Map

Mailing address

9511 Holmes Ln
Brooklyn, NY 11236-4817

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X565058111 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780119248

Wilfred Yenko, PHYSICAL EDUCATION's National Provider Identifier is 1780119248, issued on Apr 21, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 21, 2017.