Individual
YELENA BERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6000
Mailing address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012497
NY
Other
Enumeration date
04/14/2008
Last updated
05/15/2015
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