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1093404881
YELENA COSSACK
STATEN ISLAND, NY
NPI
1093404881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 1679037231)
Enumeration Date
2023-05-05
Last Update Date
2023-05-05
Business Address
Mrs. YELENA COSSACK
241 FAIRBANKS AVE
STATEN ISLAND, NY 10306-4103
Phone number: 917-392-3352
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Mailing Address
Mrs. YELENA COSSACK
241 FAIRBANKS AVE
STATEN ISLAND, NY 10306-4103
Phone number: 917-392-3352
Copy
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