Mrs. Yelena Cossack
Mrs. Yelena Cossack is an Early Intervention Provider Agency in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
241 Fairbanks AveStaten Island, NY 10306-4103
Phone: (917) 392-3352
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence 1679037231 (NY) |
|---|
Record details
| NPI number | 1093404881 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 5, 2023 |
| Last updated in NPPES | May 5, 2023 |
| Certification date | May 5, 2023 |
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