Provider Demographics
NPI:1871024307
Name:SNITKOVSKAIA, YEKATERINA
Entity Type:Individual
Prefix:
First Name:YEKATERINA
Middle Name:
Last Name:SNITKOVSKAIA
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 1:1801 AVENUE N
Mailing Address - Street 2:APT 5F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6102
Mailing Address - Country:US
Mailing Address - Phone:646-251-3817
Mailing Address - Fax:
Practice Address - Street 1:1801 AVENUE N
Practice Address - Street 2:APT 5F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6102
Practice Address - Country:US
Practice Address - Phone:646-251-3817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-26
Last Update Date:2017-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist