| Doctor Name: | MRS. YELENA SHIK |
| NPI Number: | 1093740508 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R LCSW |
| License Number: | P 060751-1 |
| Business Practice Address: | 6080 Jericho Tpke Suite 304 Commack, NY - 117252850 |
| Business Phone Number: | 6313745668 |
| Business Fax Number: | 6314991163 |
| Mailing Address: | 62 Hedgerow Ln, COMMACK |
| State: | NY |
| Postal Code: | 117252733 |
| Phone Number: | 6313745668 |
| Fax Number: | 6314934749 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 07/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | P 060751-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |