Provider Demographics
NPI:1902211238
Name:YAMPOLSKY, EUGENE
Entity Type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:
Last Name:YAMPOLSKY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 OCEAN PKWY APT 7K
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-8329
Mailing Address - Country:US
Mailing Address - Phone:718-673-1444
Mailing Address - Fax:
Practice Address - Street 1:231 PALMETTO ST
Practice Address - Street 2:RM. 120
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-4712
Practice Address - Country:US
Practice Address - Phone:718-673-1444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-25
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist