Provider Demographics
NPI:1326341785
Name:BOGUSLAVSKAYA, YELENA (MS CF)
Entity Type:Individual
Prefix:MRS
First Name:YELENA
Middle Name:
Last Name:BOGUSLAVSKAYA
Suffix:
Gender:F
Credentials:MS CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 E 4TH ST
Mailing Address - Street 2:APT 5E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-4848
Mailing Address - Country:US
Mailing Address - Phone:718-683-4327
Mailing Address - Fax:
Practice Address - Street 1:2606 E 15TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3828
Practice Address - Country:US
Practice Address - Phone:718-683-4327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist