Provider Demographics
NPI:1235706136
Name:YABLONSKA, GANNA
Entity Type:Individual
Prefix:
First Name:GANNA
Middle Name:
Last Name:YABLONSKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 AVENUE T APT 3C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-4119
Mailing Address - Country:US
Mailing Address - Phone:917-605-8896
Mailing Address - Fax:
Practice Address - Street 1:2743 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4707
Practice Address - Country:US
Practice Address - Phone:718-646-6738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor