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Daisy Chirathalackal Yohannan

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as DAISY YOHANNAN.

Based on the most recent information from CMS, provider Daisy Chirathalackal Yohannan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1053912683
Provider Type
Individual
Full Name
Yohannan, Daisy Chirathalackal
Credential
FNP-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/2/2020
Last Updated
2/22/2025

Contact Information

Practice Location

100 Woods Rd, Valhalla, NY 10595-1530

(516) 998-5529

Unlisted Fax

Mailing Location

11 Sasson Ter, Valley Cottage, NY 10989-2107

(516) 998-5529

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F346012-01 New York

Daisy Chirathalackal Yohannan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Olsen, Julianna

Campbell, Megan

Maier, Beatrice

Tallini, Gary Lawrence

Zachariah, Maxine

Mcguire, Claire

Weissman, Bari

Haley, Jenna-Rose

Wong, Mary Lynn

Dileo, Donna Marie