Provider Demographics
NPI:1306109723
Name:COMPRES, YULISA
Entity type:Individual
Prefix:
First Name:YULISA
Middle Name:
Last Name:COMPRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 W 163RD ST
Mailing Address - Street 2:APT. D7
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-5840
Mailing Address - Country:US
Mailing Address - Phone:646-319-9060
Mailing Address - Fax:
Practice Address - Street 1:520 W 163RD ST
Practice Address - Street 2:APT. D7
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-5840
Practice Address - Country:US
Practice Address - Phone:646-319-9060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist