YELENA COSSACK

STATEN ISLAND, NY
NPI1093404881
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
(Licence: NY  1679037231)
Enumeration Date2023-05-05
Last Update Date2023-05-05
Business Address
Mrs. YELENA COSSACK
241 FAIRBANKS AVE
STATEN ISLAND, NY 10306-4103
Phone number: 917-392-3352
Mailing Address
Mrs. YELENA COSSACK
241 FAIRBANKS AVE
STATEN ISLAND, NY 10306-4103
Phone number: 917-392-3352
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