Individual
YELENA AMITINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
11120 QUEENS BLVD, FOREST HILLS, NY 11375-6303
(718) 261-7600
(718) 261-7606
Mailing address
11120 QUEENS BLVD, FOREST HILLS, NY 11375-6303
(718) 261-7600
(718) 261-7606
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
224927
NY
Other
Enumeration date
03/30/2007
Last updated
04/30/2012
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