Provider Demographics
NPI:1386906832
Name:FERRER, YESENY (MS ED)
Entity type:Individual
Prefix:MRS
First Name:YESENY
Middle Name:
Last Name:FERRER
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HOMEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10553-1009
Mailing Address - Country:US
Mailing Address - Phone:718-581-8280
Mailing Address - Fax:
Practice Address - Street 1:3 HOMEWOOD RD
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10553-1009
Practice Address - Country:US
Practice Address - Phone:718-581-8280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist