Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 21795501 | NY |
NPI | 1023132008 |
---|---|
Provider Name | Dr. Yelena Suler |
First Address | Roosevelt Island, NY 10044-0052 |
Second Address | Roosevelt Island, NY 10044-0052 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
21795501 | NYS LICENSE (01) | NY |
BS7817399 | NYS DEA NUMBER (01) | NY |