Provider Demographics
NPI:1538542667
Name:JORLE, YAHAINESE
Entity type:Individual
Prefix:
First Name:YAHAINESE
Middle Name:
Last Name:JORLE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:YAHAINESE
Other - Middle Name:
Other - Last Name:JORLE-PAPROCKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:250 N BROADWAY
Mailing Address - Street 2:APT. 5J
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-2624
Mailing Address - Country:US
Mailing Address - Phone:914-275-5089
Mailing Address - Fax:
Practice Address - Street 1:250 N BROADWAY
Practice Address - Street 2:APT. 5J
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-2624
Practice Address - Country:US
Practice Address - Phone:914-275-5089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY857557174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist