Individual
YELENA KHMELNITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
33 WILSON TER, LIVINGSTON, NJ 07039-2940
(973) 533-1556
Mailing address
33 WILSON TER, LIVINGSTON, NJ 07039-2940
(973) 533-1556
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010201
NY
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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