Provider Demographics
NPI:1194097667
Name:TOUSSAINT, YANICK (RN)
Entity type:Individual
Prefix:MS
First Name:YANICK
Middle Name:
Last Name:TOUSSAINT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 HARING ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4015
Mailing Address - Country:US
Mailing Address - Phone:347-261-4048
Mailing Address - Fax:718-332-5090
Practice Address - Street 1:2015 HARING ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4015
Practice Address - Country:US
Practice Address - Phone:347-261-4048
Practice Address - Fax:718-332-5090
Is Sole Proprietor?:No
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY648391163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY347-261-4048OtherPHONE NUMBER
NY718-332-5090OtherPHONE NUMBER