MRS. Yelena Cossack
NPI #1093404881 in Staten Island, New York
Provider Information
- NPI Number
- 1093404881
- Entity Type
- Individual
- Name
- MRS. Yelena Cossack
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- May 5, 2023
- Last Updated
- May 5, 2023
Practice Location
- Address
- 241 FAIRBANKS AVE
- City
- Staten Island
- State
- New York
- ZIP Code
- 10306-4103
- Phone
- (917) 392-3352
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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