Most Relevant Information
Provider Data
| NPI Number: | 1003173105 |
| Provider Name: | YVETTE JUBUISSON |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 308793 |
Most Important Dates
| Enumeration Date: | 04/13/2012 |
| Last Updated: | 04/13/2012 |
Provider Practice Location
2920 CORTELYOU RD
BROOKLYN
NY
112266313
Practice Location Phone/Fax
| Phone: | 7182874300 |
| Fax: | 7182874600 |
Provider Mailing Location
2920 CORTELYOU RD
BROOKLYN
NY
112266313
Provider Mailing Phone/Fax
| Phone: | 7182874300 |
| Fax: | 7182874600 |