Most Relevant Information
Provider Data
| NPI Number: | 1003532789 |
| Provider Name: | YOLANDA HARRELL |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/14/2022 |
| Last Updated: | 10/14/2022 |
Provider Practice Location
950 S OYSTER BAY RD
HICKSVILLE
NY
118013510
Practice Location Phone/Fax
| Phone: | 5168226111 |
| Fax: |
Provider Mailing Location
950 S OYSTER BAY RD
HICKSVILLE
NY
118013510
Provider Mailing Phone/Fax
| Phone: | 5168226111 |
| Fax: |