Provider Demographics
NPI:1730441767
Name:CARMAN, YVETTE REID (SAS/SDA, MSED)
Entity type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:REID
Last Name:CARMAN
Suffix:
Gender:F
Credentials:SAS/SDA, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 NORMAN AVE
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-4206
Mailing Address - Country:US
Mailing Address - Phone:516-524-1287
Mailing Address - Fax:631-264-1709
Practice Address - Street 1:123 NORMAN AVE
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-4206
Practice Address - Country:US
Practice Address - Phone:516-524-1287
Practice Address - Fax:631-264-1709
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist