DR. KSENIYA YERSHOVA


Address: 66 Pinehurst Ave, 1a, New York, NY 10033
Phone: 9292600121

DR. KSENIYA YERSHOVA (NPI# 1174042683) 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) 1174042683
Entity Type Individual
Full Name DR. KSENIYA YERSHOVA
Credential PH.D.
Practice Address 66 Pinehurst Ave
1a
New York
NY 10033
Mailing Address 565 Fort Washington Ave
2a
New York
NY 10033
Practice Telephone 9292600121
Mailing Telephone 9292600121
Enumeration Date 2017-09-15
Last Update Date 2017-09-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
022005 NY Behavioral Health & Social Service Providers

Office Location

Street Address 66 PINEHURST AVE
1A
City NEW YORK
State NY
Zip Code 10033

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10033

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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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