Provider Demographics
NPI:1548890148
Name:YOUNIQUE SERVICES
Entity type:Organization
Organization Name:YOUNIQUE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:VICIOSO
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:718-441-8267
Mailing Address - Street 1:10231 92ND AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2906
Mailing Address - Country:US
Mailing Address - Phone:718-441-8267
Mailing Address - Fax:
Practice Address - Street 1:10231 92ND AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-2906
Practice Address - Country:US
Practice Address - Phone:718-441-8267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency