YELENA PANKOVA


Address: 2236 E 13th St, Brooklyn, NY 11229-4304
Phone: 7184961873

YELENA PANKOVA (NPI# 1457780116) 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) 1457780116
Entity Type Individual
Full Name YELENA PANKOVA
Credential FNP
Practice Address 2236 E 13th St
Brooklyn
NY 11229-4304
Practice Telephone 7184961873
Mailing Telephone 7184961873
Enumeration Date 2013-11-04
Last Update Date 2013-11-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
F336022-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2236 E 13TH ST
City BROOKLYN
State NY
Zip Code 11229-4304

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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11229

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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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