Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Yanira Coralyn Ildefonso-Patino, MHC-LP

Individual provider Mental Health Counselor · NPI 1629801535

Yanira Coralyn Ildefonso-Patino, MHC-LP is a Mental Health Counselor in Jericho, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

350 Jericho Tpke Ste 103
Jericho, NY 11753-1317
Phone: (516) 425-4062
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P128403 (NY)

Record details

NPI number1629801535
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHC-LP
Sole proprietorYes
NPI enumeratedAugust 26, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 25, 2024

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