Individual
MS. YELENA GERSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 HYLAN BLVD, STATEN ISLAND, NY 10305-2015
(718) 420-6191
Mailing address
420 WOODROW RD, STATEN ISLAND, NY 10312-1336
(718) 227-6355
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008253
NY
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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