MEDICARE: MRS. YELENA MARKS MS, CCC-SLP

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	235Z00000X	Speech-Language Pathologist	01232-0	NY

General Provider Information

NPI Number	:	1841445426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. YELENA MARKS MS, CCC-SLP

Provider Business Mailing Address
First Line	:	82 BARKERS POINT RD
Second Line	:
City	:	PORT WASHINGTON
State	:	NY
Zip	:	11050-1328
Country	:	US
Telephone Number	:	917-319-8992
Fax Number	:

Provider Business Practice Location Address
First Line	:	82 BARKERS POINT RD
Second Line	:
City	:	PORT WASHINGTON
State	:	NY
Zip	:	11050-1328
Country	:	US
Telephone Number	:	917-319-8992
Fax Number	:

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

Provider Enumeration Date	:	11/24/2008
Last Update Date	:	10/10/2023

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