YELENA RAZDOLSKAYA


Address: 2785 W 5th St Apt 10e, Brooklyn, NY 11224-4612
Phone: 6464151915

YELENA RAZDOLSKAYA (NPI# 1396844924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396844924
Entity Type Individual
Full Name YELENA RAZDOLSKAYA
Credential PSY.D
Practice Address 2785 W 5th St Apt 10e
Brooklyn
NY 11224-4612
Practice Telephone 6464151915
Enumeration Date 2006-09-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
0162101 NY Behavioral Health & Social Service Providers

Office Location

Street Address 2785 W 5TH ST APT 10E
City BROOKLYN
State NY
Zip Code 11224-4612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922164383 Mandala Psychological Services, P.C. Psychologist 2785 W 5th St Apt 10e, Brooklyn, NY 11224-4612 2006-12-29

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1033665336 Galina Moiseyeva Pharmacist 2946 W23rd Ap6-n, Brooklyn, NY 11224 2016-08-28
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1235537143 Nola Roxanne Moore Licensed Practical Nurse 2867 West 37th Street, Brooklyn, NY 11224 2014-12-09
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922630631 Juliet Lisa Collingwood Psychologist 471 13th St, Brooklyn, NY 11215-5206 2020-02-11
1013488766 Harvey Zeichner Psychologist 186 Joralemon St Fl 2, Brooklyn, NY 11201-4326 2018-12-06
1487019097 Paul Mccabe Psychologist 427 7th Ave, #2, Brooklyn, NY 11215-7359 2015-12-24
1801201074 James Poole Psychologist 278 Humboldt St, Apt 4r, Brooklyn, NY 11206 2014-06-26
1215291281 Kristin Klahr Psychologist 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 2012-06-25
1073843462 Jacqueline Sue Degroat Psychologist 816 Ditmas Ave, Brooklyn, NY 11218-5204 2010-01-06
1568628535 Kathryn Leigh Clark Psychologist 100 8th Ave, Brooklyn, NY 11215-1554 2008-07-30
1538368477 Leona M. Jaglom Psychologist 102 Garfield Pl, Brooklyn, NY 11215-2003 2007-07-11
1487268074 Brittany Bess Psychologist 483 Clermont Ave, Brooklyn, NY 11238-2253 2020-09-02
1083199616 Vivian Song Psychologist 142 Joralemon St Ste 3e, Brooklyn, NY 11201-4709 2018-09-29
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Competitor

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City BROOKLYN
Zip Code 11224

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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