Provider Demographics
NPI:1831450618
Name:YAROVAYA, VALENTINA (MS)
Entity type:Individual
Prefix:MRS
First Name:VALENTINA
Middle Name:
Last Name:YAROVAYA
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 1:722 LARCH ST
Mailing Address - Street 2:
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-1214
Mailing Address - Country:US
Mailing Address - Phone:908-400-0275
Mailing Address - Fax:
Practice Address - Street 1:722 LARCH ST
Practice Address - Street 2:
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-1214
Practice Address - Country:US
Practice Address - Phone:908-400-0275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY887560991174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist