Provider Demographics
NPI:1588361729
Name:NISHIO, YUKINA CINDY
Entity type:Individual
Prefix:
First Name:YUKINA
Middle Name:CINDY
Last Name:NISHIO
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 1:5 W 86TH ST APT 1A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3663
Mailing Address - Country:US
Mailing Address - Phone:201-809-3508
Mailing Address - Fax:
Practice Address - Street 1:5 W 86TH ST APT 1A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3663
Practice Address - Country:US
Practice Address - Phone:201-809-3508
Practice Address - Fax:201-331-5975
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00770300101YM0800X
NYP126661101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health