Basic Information
| Provider Information | |||||||||
| NPI: | 1891465910 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OSORIO | ||||||||
| FirstName: | YANIRA | ||||||||
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| Credential: | MHCLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 507 E 161ST ST APT 9C | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104514388 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9176456922 | ||||||||
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| Practice Location | |||||||||
| Address1: | 19 GREENRIDGE AVE | ||||||||
| Address2: | |||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 106051201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9149497680 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2021 | ||||||||
| LastUpdateDate: | 09/20/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 1810824501 | NY | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.