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1215136031
YELENA SPIVAK
BROOKLYN, NY
NPI
1215136031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 007916)
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
-- YELENA SPIVAK pa-c
1302 KINGS HWY
BROOKLYN, NY 11229-1960
Phone number: 718-645-2700
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Mailing Address
-- YELENA SPIVAK pa-c
501 SURF AVE, #10E
BROOKLYN, NY 11224
Phone number: 718-266-0756
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