MEDICARE: GANNA YABLONSKA

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1235706136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GANNA YABLONSKA

Provider Business Mailing Address
First Line	:	602 AVENUE T APT 3C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-4119
Country	:	US
Telephone Number	:	917-605-8896
Fax Number	:

Provider Business Practice Location Address
First Line	:	2743 OCEAN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4707
Country	:	US
Telephone Number	:	718-646-6738
Fax Number	:

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

Provider Enumeration Date	:	06/08/2021
Last Update Date	:	06/08/2021

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Directions to “ GANNA YABLONSKA ” Practice Location

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