Individual
ELINA FEDORENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SC
Contact information
Practice address
1580 DAHILL RD FL 2, BROOKLYN, NY 11204-3573
(718) 375-2505
Mailing address
1580 DAHILL RD FL 2, BROOKLYN, NY 11204-3573
(718) 375-2505
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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