Provider Demographics
NPI:1720884562
Name:COLE, JANEIL YABUZIN (RN)
Entity type:Individual
Prefix:MR
First Name:JANEIL
Middle Name:YABUZIN
Last Name:COLE
Suffix:
Gender:
Credentials:RN
Other - Prefix:MR
Other - First Name:JANEIL
Other - Middle Name:
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:6 E 53RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1908
Mailing Address - Country:US
Mailing Address - Phone:646-752-5097
Mailing Address - Fax:
Practice Address - Street 1:6 E 53RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1908
Practice Address - Country:US
Practice Address - Phone:718-245-7061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY857865163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse