Provider Demographics
NPI:1912346743
Name:ROGOV, YELENA (MS SPECIAL ED)
Entity Type:Individual
Prefix:
First Name:YELENA
Middle Name:
Last Name:ROGOV
Suffix:
Gender:F
Credentials:MS SPECIAL ED
Other - Prefix:
Other - First Name:YELENA
Other - Middle Name:
Other - Last Name:ROGOV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS SPECIAL ED
Mailing Address - Street 1:2821 AVENUE X
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1903
Mailing Address - Country:US
Mailing Address - Phone:718-314-7669
Mailing Address - Fax:
Practice Address - Street 1:2821 AVENUE X
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-1903
Practice Address - Country:US
Practice Address - Phone:718-314-7669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist