Provider Demographics
NPI:1700321437
Name:BINDER, YELENA (LAC, LMT)
Entity Type:Individual
Prefix:MS
First Name:YELENA
Middle Name:
Last Name:BINDER
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 NEPTUNE AVE APT 5B
Mailing Address - Street 2:11 F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4024
Mailing Address - Country:US
Mailing Address - Phone:646-431-2121
Mailing Address - Fax:
Practice Address - Street 1:119 W 23RD ST STE 802
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011
Practice Address - Country:US
Practice Address - Phone:646-431-2121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-04
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY25005431171100000X
NY27 026121405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No405300000XOther Service ProvidersPrevention Professional