MEDICARE: HELENA CHERNYAK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ISW15518	FL

General Provider Information

NPI Number	:	1942036801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELENA CHERNYAK

Provider Business Mailing Address
First Line	:	3965 HYDE PARK CIR
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3046
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3965 HYDE PARK CIR
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3046
Country	:	US
Telephone Number	:	917-291-2677
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2024
Last Update Date	:	09/09/2024

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Directions to “ HELENA CHERNYAK ” Practice Location

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