Individual
DR. YELENA KOMISSAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
241 NORTH RD, POUGHKEEPSIE, NY 12601
(845) 483-5000
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
245065
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245065
NYS LICENSE
NY
Enumeration date
09/10/2008
Last updated
08/13/2019
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