Provider Demographics
NPI:1720428162
Name:KATNOV, YONA
Entity Type:Individual
Prefix:
First Name:YONA
Middle Name:
Last Name:KATNOV
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 1:1570 E 14TH ST APT 4H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7110
Mailing Address - Country:US
Mailing Address - Phone:347-282-0889
Mailing Address - Fax:718-376-9542
Practice Address - Street 1:1570 E 14TH ST APT 4H
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7110
Practice Address - Country:US
Practice Address - Phone:347-282-0889
Practice Address - Fax:718-376-9542
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-30
Last Update Date:2013-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist