Doctor Name: | YELENA IGLANOVA |
NPI Number: | 1033289194 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 8233 |
Business Practice Address: | Nsuh - Dept Of Neurosurgery 300 Community Drive Manhasset, NY - 11030 |
Business Phone Number: | 5165633020 |
Business Fax Number: | |
Mailing Address: | Nsuh - Dept Of Neurosurgery, 300 Community Drive MANHASSET |
State: | NY |
Postal Code: | 11030 |
Phone Number: | 5165633020 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 8233 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |