Provider Demographics
NPI:1124706197
Name:LLEWELLYN, YVONNE B (HOME HEALTH AIDE)
Entity type:Individual
Prefix:MISS
First Name:YVONNE
Middle Name:B
Last Name:LLEWELLYN
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:DR
Other - First Name:RICHARD
Other - Middle Name:A
Other - Last Name:GASALBERTI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:HOME HEALTH AIDE
Mailing Address - Street 1:17406 110TH AVE # 1A
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11433-3456
Mailing Address - Country:US
Mailing Address - Phone:646-399-4572
Mailing Address - Fax:
Practice Address - Street 1:7136 110TH ST APT 1L
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4860
Practice Address - Country:US
Practice Address - Phone:718-544-7700
Practice Address - Fax:718-793-2942
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01171244374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide