Individual
MRS. YELENA AZAROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5000
Mailing address
23 BEACHVIEW AVE, STATEN ISLAND, NY 10306-5106
(917) 749-1075
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007888
NY
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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