Provider Information for 1922185362
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YANA GAYKOV LCSW
Sex: Female
NPI: 1922185362
Last Updated: 2010-09-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1922185362 | ||||||||
| Enumeration Date | 2006-11-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 315 HEWLETT PKWY HEWLETT, NY 11557-1201 United States Phone: 516-643-4501 | Fax: | ||||||||
| Primary Practice Address | 315 HEWLETT PKWY HEWLETT, NY 11557-1201 United States Phone: 516-837-3987 | Fax: | ||||||||
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