Provider Demographics
NPI:1750858692
Name:LOTOVSKY, YANA
Entity Type:Individual
Prefix:
First Name:YANA
Middle Name:
Last Name:LOTOVSKY
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 1:2314 NATIONAL DR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6831
Mailing Address - Country:US
Mailing Address - Phone:347-476-0331
Mailing Address - Fax:
Practice Address - Street 1:2314 NATIONAL DR
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6831
Practice Address - Country:US
Practice Address - Phone:347-476-0331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist