Provider Demographics
NPI:1528018983
Name:YANKELEVICH, PAVEL (CPED, CFO)
Entity Type:Individual
Prefix:MR
First Name:PAVEL
Middle Name:
Last Name:YANKELEVICH
Suffix:
Gender:M
Credentials:CPED, CFO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2962 AVENUE U
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-5101
Mailing Address - Country:US
Mailing Address - Phone:718-743-2453
Mailing Address - Fax:718-743-2352
Practice Address - Street 1:2962 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-5101
Practice Address - Country:US
Practice Address - Phone:718-743-2453
Practice Address - Fax:718-743-2352
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10709174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist