Individual
MISS YELENA RYBAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-3101
(718) 904-2827
Mailing address
8344 LEFFERTS BLVD APT 2B, KEW GARDENS, NY 11415-2547
(646) 775-5612
(718) 904-2827
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
11/22/2019
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