Provider Demographics
NPI:1568501211
Name:FLEURANTIN, YOLANDA (NP)
Entity type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:
Last Name:FLEURANTIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3315 COLDEN AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3701
Mailing Address - Country:US
Mailing Address - Phone:646-721-3987
Mailing Address - Fax:
Practice Address - Street 1:1901 1ST AVE # 13B4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7404
Practice Address - Country:US
Practice Address - Phone:646-423-5265
Practice Address - Fax:212-423-6068
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYMF1115369363LG0600X
NY401820363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology