Provider Demographics
NPI:1568845212
Name:OSOVSKAYA, KATE (MS IN EDUCATION)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:OSOVSKAYA
Suffix:
Gender:F
Credentials:MS IN EDUCATION
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:OSOVSKAYA-YANOVICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:920 E 17TH ST
Mailing Address - Street 2:APT. #309
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3751
Mailing Address - Country:US
Mailing Address - Phone:917-907-0998
Mailing Address - Fax:
Practice Address - Street 1:920 E 17TH ST
Practice Address - Street 2:APT. #309
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3751
Practice Address - Country:US
Practice Address - Phone:917-907-0998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY436318101174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist