Provider Demographics
NPI:1861944308
Name:YENIKOMSU, BEHIYE (MSM, CPM,LM)
Entity type:Individual
Prefix:MS
First Name:BEHIYE
Middle Name:
Last Name:YENIKOMSU
Suffix:
Gender:F
Credentials:MSM, CPM,LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10268 PARK ROW CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-5868
Mailing Address - Country:US
Mailing Address - Phone:425-772-6213
Mailing Address - Fax:321-319-9713
Practice Address - Street 1:10268 PARK ROW CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-5868
Practice Address - Country:US
Practice Address - Phone:425-772-6213
Practice Address - Fax:321-319-9713
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-01
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW351176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife