Organization
YELENA NEMTSOVA, PT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA NEMTSOVA (PRESIDENT)
(917) 622-2612
Entity
Organization
Contact information
Practice address
291 ROBINSON AVE, STATEN ISLAND, NY 10312-5609
(917) 622-2612
Mailing address
291 ROBINSON AVE, STATEN ISLAND, NY 10312-5609
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
15516
NY
Other
Enumeration date
01/01/2012
Last updated
01/01/2012
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