Most Relevant Information
Provider Data
| NPI Number: | 1003321555 |
| Provider Name: | YELENA SVETLITSKAYA |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/06/2017 |
| Last Updated: | 12/06/2017 |
Provider Practice Location
165 BEDFORD AVE # 2
BROOKLYN
NY
112112037
Practice Location Phone/Fax
| Phone: | 9082408255 |
| Fax: |
Provider Mailing Location
165 BEDFORD AVE # 2
BROOKLYN
NY
112112037
Provider Mailing Phone/Fax
| Phone: | 9082408255 |
| Fax: |