Provider Demographics
NPI:1306088042
Name:YESTERMORROW PC
Entity type:Organization
Organization Name:YESTERMORROW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:PIACITELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-886-9669
Mailing Address - Street 1:1050 MAIN ST
Mailing Address - Street 2:SUITE #18
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-3161
Mailing Address - Country:US
Mailing Address - Phone:401-886-9669
Mailing Address - Fax:401-886-9779
Practice Address - Street 1:1050 MAIN ST
Practice Address - Street 2:SUITE #18
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3161
Practice Address - Country:US
Practice Address - Phone:401-886-9669
Practice Address - Fax:401-886-9779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-26
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD10390207QB0002X
RIMD11488207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
H30226Medicare UPIN
089004208Medicare PIN