Provider Demographics
NPI:1467210856
Name:YULIA FITENKO PSYCHOANALYST P.C.
Entity Type:Organization
Organization Name:YULIA FITENKO PSYCHOANALYST P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FITENKO
Authorized Official - Suffix:
Authorized Official - Credentials:LP
Authorized Official - Phone:646-884-4479
Mailing Address - Street 1:387 AVENUE S APT 4B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2931
Mailing Address - Country:US
Mailing Address - Phone:646-884-4479
Mailing Address - Fax:
Practice Address - Street 1:387 AVENUE S APT 4B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2931
Practice Address - Country:US
Practice Address - Phone:646-884-4479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysisGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health