Provider Demographics
NPI:1043024979
Name:URBINO, JANILL
Entity type:Individual
Prefix:
First Name:JANILL
Middle Name:
Last Name:URBINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8409 TALBOT ST APT A16
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-3558
Mailing Address - Country:US
Mailing Address - Phone:646-363-7864
Mailing Address - Fax:
Practice Address - Street 1:8409 TALBOT ST APT A16
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-3558
Practice Address - Country:US
Practice Address - Phone:646-363-7864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator