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NPI Code Detail

MEDICARE: DR. LEONID YAMPOLSKY PH.D.

MEDICARE: DR. LEONID YAMPOLSKY PH.D.
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
1103TC0700XClinical Psychologist013244NY

General Provider Information

NPI Number : 1386759843
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEONID YAMPOLSKY PH.D.
Provider Business Mailing Address
First Line : 6415 BAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-3969
Country : US
Telephone Number : 718-331-3800
Fax Number : 718-331-3387
Provider Business Practice Location Address
First Line : 6415 BAY PARKWAY
Second Line :
City : BROOKLYN
State : NY
Zip : 11204
Country : US
Telephone Number : 718-331-3800
Fax Number : 718-331-3387
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 03/29/2014

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