Provider Demographics
NPI:1346480027
Name:YONKO, MANNY M (LMSW)
Entity type:Individual
Prefix:MR
First Name:MANNY
Middle Name:M
Last Name:YONKO
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 MORRIS AVE
Mailing Address - Street 2:SUITE 4G
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-6625
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2420 MORRIS AVE
Practice Address - Street 2:SUITE 4G
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-6625
Practice Address - Country:US
Practice Address - Phone:347-582-4056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY075346104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker