Individual
YELENA PANKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2236 E 13TH ST, BROOKLYN, NY 11229-4304
(718) 496-1873
Mailing address
2236 E 13TH ST, BROOKLYN, NY 11229-4304
(718) 496-1873
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F336022-1
NY
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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