Provider Demographics
NPI:1568845212
Name:YANOVICH, KATE (MS IN EDUCATION)
Entity type:Individual
Prefix:MRS
First Name:KATE
Middle Name:
Last Name:YANOVICH
Suffix:
Gender:F
Credentials:MS IN EDUCATION
Other - Prefix:MS
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:OSOVSKAYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2645 HOMECREST AVE APT 3E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-4528
Mailing Address - Country:US
Mailing Address - Phone:917-907-0998
Mailing Address - Fax:
Practice Address - Street 1:2645 HOMECREST AVE APT 3E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4528
Practice Address - Country:US
Practice Address - Phone:917-907-0998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY436318101174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist