Active NPIIndividual providerSole proprietor

Mrs. Yelena Cossack

Early Intervention Provider Agency in Staten Island, New York

NPI Number1093404881
Practice location
241 Fairbanks Ave, Staten Island, NY 10306-4103
Fax
—
Last updated
May 5, 2023

Yelena Cossack is an Early Intervention Provider Agency based in Staten Island, NY. Yelena Cossack practices in Staten Island, NY. The NPI Number for Yelena Cossack is 1093404881 and holds a License No. 1679037231 (NY). The current practice location address for Yelena Cossack is 241 Fairbanks Ave, Staten Island, NY 10306-4103 and can be reached out via phone at 917-392-3352.

Provider Profile Details

NPI Number
1093404881
Provider Name
Yelena Cossack
Provider Entity Type
Individual
Gender
Female
Address
241 Fairbanks Ave, Staten Island, NY 10306-4103
Phone Number
917-392-3352
Primary Taxonomy
Early Intervention Provider Agency · 252Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 5, 2023
Last Update Date
May 5, 2023
Certification Date
May 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
241 Fairbanks Ave
Staten Island, NY 10306-4103
Zip
10306-4103
Phone Number
917-392-3352
Staten Island, NY 10306Get directions →

Provider Business Mailing Address Details

Address
241 Fairbanks Ave
Staten Island, NY 10306-4103
City
Staten Island
State
NY
Zip
10306-4103
Phone Number
917-392-3352

License Information

License Number
1679037231
License State
NY
Taxonomy
Early Intervention Provider Agency · 252Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Yelena Cossack?

The NPI number of Mrs. Yelena Cossack is 1093404881. It was assigned on May 5, 2023 and is currently active in the NPPES registry.

What is the specialty of Mrs. Yelena Cossack?

Mrs. Yelena Cossack is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X), licensed in NY under license number 1679037231.

Where does Mrs. Yelena Cossack practice?

The practice location is 241 Fairbanks Ave, Staten Island, NY 10306-4103. The office can be reached at 917-392-3352 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093404881 directly on the NPPES registry website.

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