Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN YUDIANTO, CTRS
Active Sole ProprietorMR. KEVIN YUDIANTO, CTRS is a Recreation Therapist healthcare provider located in JAMAICA, New York. NPI 1720790793 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · JAMAICA, NY
Registration Details
- NPI Number
- 1720790793
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2022 (3.4625181135738 yrs)
- Last Updated
- Dec 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
17900 LINDEN BLVD RM 219AJAMAICA, NY, 114250001Browse NY providers · Browse ZIP 11425
- Phone
- 7185261000
- Primary Specialty
-
Recreation Therapist
225800000X
Other Recreation Therapist Providers in JAMAICA, NY
| Name | Credential | NPI |
|---|---|---|
| KENDALL MURPHY | RECREATION THERAPIST | 1346841863 |
| MS. LESLEY RIDLEY | — | 1609477124 |
| LUD AUGUSTIN JR. | — | 1346843067 |
| RIZA RAMOS | — | 1760155055 |
| ELAINE MONICA SCHIEBEL | RT | 1700565405 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.