Provider Demographics
NPI:1447925334
Name:CUEVAS, JOVANNI
Entity type:Individual
Prefix:
First Name:JOVANNI
Middle Name:
Last Name:CUEVAS
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 1:137 ALEXANDER ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-5089
Mailing Address - Country:US
Mailing Address - Phone:917-498-5976
Mailing Address - Fax:
Practice Address - Street 1:137 ALEXANDER ST APT 2411
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-5095
Practice Address - Country:US
Practice Address - Phone:917-498-5976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor