KATHLEEN YETMAN (NPI# 1265953517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265953517 |
| Entity Type | Individual |
| Full Name | KATHLEEN YETMAN |
| Practice Address |
2707 8th Street The Astoria Blue Feather Profram Astoria NY 11102 |
| Mailing Address |
31 Westminster Rd Rockville Centre NY 11570-2029 |
| Practice Telephone | 7187213960 |
| Mailing Telephone | 5162870203 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2707 8TH STREET THE ASTORIA BLUE FEATHER PROFRAM |
| City | ASTORIA |
| State | NY |
| Zip Code | 11102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| 1114326915 | Newtown Pharmacy Inc | Pharmacy | 28-04 31st Street, Astoria, NY 11102 | 2014-08-18 |
| Find all providers in zip 11102 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743535 | Alexa Anastasio | Student in an Organized Health Care Education/Training Program | 3091 31st St Fl 3, Astoria, NY 11102-1974 | 2020-09-03 |
| 1972132702 | Anuj Paul | Student in an Organized Health Care Education/Training Program | 2130 30th Ave Apt 2, Astoria, NY 11102-3332 | 2020-04-03 |
| 1730717596 | James Robert Skala IIi | Student in an Organized Health Care Education/Training Program | 3115 30th St Apt 3r, Astoria, NY 11106-2828 | 2020-03-29 |
| 1588205926 | Panagiotis Sotiropoulos | Student in an Organized Health Care Education/Training Program | 2032 20th St Apt 3a, Astoria, NY 11105-3588 | 2019-10-07 |
| 1386208072 | Rowan Mahmoud | Student in an Organized Health Care Education/Training Program | 3028 41st St Apt 2th, Astoria, NY 11103-3410 | 2019-04-28 |
| 1033672423 | Reema Anjum | Student in an Organized Health Care Education/Training Program | 1824 Astoria Park S, Astoria, NY 11102-3444 | 2019-04-11 |
| 1679044473 | Joanna Kominis | Student in an Organized Health Care Education/Training Program | 2329 33rd Rd, Astoria, NY 11106-4243 | 2018-12-06 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1427545235 | Vera A Tsetlina | Student in an Organized Health Care Education/Training Program | 2062 31st St Apt D4, Astoria, NY 11105-2532 | 2018-04-17 |
| 1609372283 | Thomas Allen Mehuron IIi | Student in an Organized Health Care Education/Training Program | 3133 37th St Apt 3, Astoria, NY 11103-3932 | 2018-04-03 |
| Find all providers in ASTORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.