Provider Demographics
NPI:1386968667
Name:IACOVELLA, YOLANDA (RPH, RPA-C)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:IACOVELLA
Suffix:
Gender:F
Credentials:RPH, RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 ALTA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:661 HILLSIDE RD
Practice Address - Street 2:
Practice Address - City:PELHAM MANOR
Practice Address - State:NY
Practice Address - Zip Code:10803
Practice Address - Country:US
Practice Address - Phone:914-738-2400
Practice Address - Fax:914-738-6909
Is Sole Proprietor?:No
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY36093-11835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric