Individual
YANA POPILEVSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5100 WEST TAFT RD, STE 2E, LIVERPOOL, NY 13088
(315) 634-2541
(315) 634-3395
Mailing address
5100 WEST TAFT RD, STE 2E, LIVERPOOL, NY 13088
(315) 634-2541
(315) 634-3395
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007981-1
NY
Other
Enumeration date
11/15/2006
Last updated
03/25/2010
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