Organization
MANDALA PSYCHOLOGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA RAZDOLSKAYA PSY.D (PSYCHOLOGIST)
(646) 415-1915
Entity
Organization
Contact information
Practice address
2785 W 5TH ST APT 10E, BROOKLYN, NY 11224-4612
(646) 415-1915
Mailing address
2785 W 5TH ST APT 10E, BROOKLYN, NY 11224-4612
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016210
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02821658
—
NY
Enumeration date
12/29/2006
Last updated
08/22/2020
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