Individual
DR. ERIC SHANE YELLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4983
Mailing address
1545 ATLANTIC AVE, BROOKLYN, NY 11213
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021859
NY
103TC0700X
Clinical Psychologist
021859
NY
Other
Enumeration date
04/05/2017
Last updated
04/07/2017
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