MEDICARE: MS. YELENA ALPERIN LCSW

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	R039827-1	NY

General Provider Information

NPI Number	:	1679578454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YELENA ALPERIN LCSW

Provider Business Mailing Address
First Line	:	395 RIVERSIDE DR
Second Line	:	APT 5G
City	:	NEW YORK
State	:	NY
Zip	:	10025-1859
Country	:	US
Telephone Number	:	646-345-1372
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 W 86TH ST
Second Line	:	1B
City	:	NEW YORK
State	:	NY
Zip	:	10024-3605
Country	:	US
Telephone Number	:	646-345-1372
Fax Number	:

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	06/08/2015

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