Yelena Blyumberg PA

NPI 1205141876 - Physician Assistant - 363A00000X

NPI Details
NPI 1205141876
Gender Female
Enumeration Date 08/08/2010
Last Updated 08/25/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
8900 VAN WYCK EXPY
JAMAICA NY, 11418-2832, US
Phone (718) 206-6066
Fax
Business Location
8900 VAN WYCK EXPY
JAMAICA NY, 11418-2832, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 014086
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According to our database, Yelena Blyumberg PA NPI is 1205141876, taxonomy code is 363A00000X and license number is 014086, license state is located at New York. Yelena Blyumberg PA physically located at 8900 Van Wyck Expy, Jamaica NY, 11418-2832. NPI Number Yelena Blyumberg PA has the Individual type.

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1205141876 NPI number is provided on an as is basis without warranty of any kind. 1205141876 is maintained by the National Plan & Provider Enumeration System. The contents of Yelena Blyumberg PA are for informational purposes only.