Individual
YELENA SPIVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1302 KINGS HWY, BROOKLYN, NY 11229-1960
(718) 645-2700
(718) 645-3188
Mailing address
501 SURF AVE, #10E, BROOKLYN, NY 11224
(718) 266-0756
(718) 645-3188
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007916
NY
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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