Provider Demographics
NPI:1285911818
Name:GOLUBITSKAYA, YANA (MD)
Entity type:Individual
Prefix:
First Name:YANA
Middle Name:
Last Name:GOLUBITSKAYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2661 E 28TH ST
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2424
Mailing Address - Country:US
Mailing Address - Phone:917-291-5431
Mailing Address - Fax:718-234-8517
Practice Address - Street 1:2661 E 28TH ST
Practice Address - Street 2:FLOOR 2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2424
Practice Address - Country:US
Practice Address - Phone:917-291-5431
Practice Address - Fax:718-234-8517
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09171900207R00000X
NY263276207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty