Individual
MS. ELENA MAKAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
17520 HILLSIDE AVE, JAMAICA, NY 11432-5773
(718) 291-1888
Mailing address
17520 HILLSIDE AVE, JAMAICA, NY 11432-5773
(718) 291-1888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16808
NY
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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