YULISSA FAMILIA (NPI# 1720518715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720518715 |
| Entity Type | Individual |
| Full Name | YULISSA FAMILIA |
| Credential | NP |
| Practice Address |
6506 Myrtle Ave Fl 1 Glendale NY 11385-6250 |
| Mailing Address |
1138 Decatur St Brooklyn NY 11207-1128 |
| Practice Telephone | 7183169600 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F308131-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6506 MYRTLE AVE FL 1 |
| City | GLENDALE |
| State | NY |
| Zip Code | 11385-6250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242758 | La Medical Clinic Inc | Nurse Practitioner | 501 W Glenoaks Blvd Ste 200, Glendale, CA 91202-4045 | 2019-02-26 |
| 1346600681 | Jackie Huang | Nurse Practitioner | 1505 Wilson Ter Ste 205, Glendale, CA 91206-4071 | 2016-02-29 |
| 1356685473 | Margarita Ukman | Nurse Practitioner | 6829 Myrtle Ave, Glendale, NY 11385-7234 | 2012-11-15 |
| 1659539419 | Ginger Lynn Harrison | Nurse Practitioner | 7776 N 58th Ave, Glendale, AZ 85301-7875 | 2008-05-29 |
| 1093760167 | Stacey Beth Gregory | Nurse Practitioner | 5701 W Talavi Blvd, Suite 180, Glendale, AZ 85306-1886 | 2006-05-24 |
| 1174598775 | Kristin N Smith | Nurse Practitioner | 5303 W Hackamore Dr, Glendale, AZ 85310-4418 | 2006-02-17 |
| 1023003829 | Ann Elizabeth Tyrrell | Nurse Practitioner | 8314 N 49th Dr, Glendale, AZ 85302-6307 | 2005-09-18 |
| 1891793089 | Levon Allen Ter-bagdasarian | Nurse Practitioner | 1560 E Chevy Chase Dr, Suite 130, Glendale, CA 91206-4197 | 2005-07-12 |
| 1841763240 | Shwe Phyo | Nurse Practitioner | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2019-01-08 |
| 1790168565 | Aspire Health LLC | Nurse Practitioner | 7802 N 43rd Ave, Suite 4, Glendale, AZ 85301-8111 | 2015-06-29 |
| Find all providers in GLENDALE | ||||
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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.