Yanina Etlis, D.O.

NPI #1730160920 in Rego Park, New York

Provider Information

NPI Number: 1730160920
Entity Type: Individual
Name: Yanina Etlis, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Nov 7, 2005
Last Updated: Mar 29, 2021

Practice Location

Address: 9785 QUEENS BLVD
City: Rego Park
State: New York
ZIP Code: 11374-3319
Phone: (718) 261-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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