MEDICARE: YELENA AEROVA

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	224Z00000X	Occupational Therapy Assistant	008944	NY

General Provider Information

NPI Number	:	1821864927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YELENA AEROVA

Provider Business Mailing Address
First Line	:	3319 KINGS HWY APT 4M
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-2623
Country	:	US
Telephone Number	:	646-642-9777
Fax Number	:

Provider Business Practice Location Address
First Line	:	3319 KINGS HWY APT 4M
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-2623
Country	:	US
Telephone Number	:	646-642-9777
Fax Number	:

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

Provider Enumeration Date	:	11/29/2023
Last Update Date	:	11/29/2023

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Directions to “ YELENA AEROVA ” Practice Location

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