Provider Demographics
NPI:1811130958
Name:PINYAGINA, YELENA (MS)
Entity type:Individual
Prefix:
First Name:YELENA
Middle Name:
Last Name:PINYAGINA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 STONEGATE DR
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-4444
Mailing Address - Country:US
Mailing Address - Phone:917-282-6937
Mailing Address - Fax:
Practice Address - Street 1:196 STONEGATE DR
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-4444
Practice Address - Country:US
Practice Address - Phone:917-282-6937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist