Provider Demographics
NPI:1932418621
Name:BRAZIL, YOCHEVED (NP)
Entity type:Individual
Prefix:
First Name:YOCHEVED
Middle Name:
Last Name:BRAZIL
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 1:270 DOUGHTY BLVD
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11096-1367
Mailing Address - Country:US
Mailing Address - Phone:516-569-0700
Mailing Address - Fax:516-569-0711
Practice Address - Street 1:270 DOUGHTY BLVD
Practice Address - Street 2:
Practice Address - City:INWOOD
Practice Address - State:NY
Practice Address - Zip Code:11096-1367
Practice Address - Country:US
Practice Address - Phone:516-569-0700
Practice Address - Fax:516-569-0711
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY576383163W00000X
NY307894363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse