Provider Demographics
NPI:1841577590
Name:FILIPOVA, YANINA (LAC)
Entity Type:Individual
Prefix:MISS
First Name:YANINA
Middle Name:
Last Name:FILIPOVA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2666 E 18TH ST APT 3R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3633
Mailing Address - Country:US
Mailing Address - Phone:646-244-0597
Mailing Address - Fax:
Practice Address - Street 1:241 W 37TH ST RM 405
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-6888
Practice Address - Country:US
Practice Address - Phone:646-244-0597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004656-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist