Provider Demographics
NPI:1063281962
Name:PALATNIK, YELENA (LMSW)
Entity type:Individual
Prefix:
First Name:YELENA
Middle Name:
Last Name:PALATNIK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6434 102ND ST
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3650
Mailing Address - Country:US
Mailing Address - Phone:917-304-7191
Mailing Address - Fax:
Practice Address - Street 1:2079 KENNETH RD
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-5508
Practice Address - Country:US
Practice Address - Phone:917-304-7191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC071014104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker