Provider Demographics
NPI:1861645590
Name:RASKINA, YELENA (PT)
Entity Type:Individual
Prefix:MRS
First Name:YELENA
Middle Name:
Last Name:RASKINA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 TRUMAN AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703-1113
Mailing Address - Country:US
Mailing Address - Phone:914-375-4666
Mailing Address - Fax:914-375-0909
Practice Address - Street 1:3 TRUMAN AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-1113
Practice Address - Country:US
Practice Address - Phone:914-375-4666
Practice Address - Fax:914-375-0909
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-25
Last Update Date:2008-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPT0211012251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics