Yelena Spivak PA-C

NPI 1215136031 - Physician Assistant - 363AM0700X

NPI Details
NPI 1215136031
Gender Female
Enumeration Date 07/12/2007
Last Updated 07/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1302 KINGS HWY
BROOKLYN NY, 11229-1960, US
Phone (718) 645-2700
Fax (718) 645-3188
Business Location
501 SURF AVE, #10E
BROOKLYN NY, 11224, US
Phone (718) 266-0756
Fax (718) 645-3188
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 007916
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According to our database, Yelena Spivak PA-C NPI is 1215136031, taxonomy code is 363AM0700X and license number is 007916, license state is located at New York. Yelena Spivak PA-C physically located at 1302 Kings Hwy, Brooklyn NY, 11229-1960. NPI Number Yelena Spivak PA-C has the Individual type.

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1215136031 NPI number is provided on an as is basis without warranty of any kind. 1215136031 is maintained by the National Plan & Provider Enumeration System. The contents of Yelena Spivak PA-C are for informational purposes only.