Provider Demographics
NPI:1295050326
Name:SHVARTS, YANA
Entity type:Individual
Prefix:MRS
First Name:YANA
Middle Name:
Last Name:SHVARTS
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 1:1075 SHEEPSHEAD BAY RD
Mailing Address - Street 2:7G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4257
Mailing Address - Country:US
Mailing Address - Phone:347-524-1032
Mailing Address - Fax:
Practice Address - Street 1:1075 SHEEPSHEAD BAY RD
Practice Address - Street 2:7G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4257
Practice Address - Country:US
Practice Address - Phone:347-524-1032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018072-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist