Provider Demographics
NPI:1588163414
Name:STRUTIN-GOLDSTEIN, YANA
Entity type:Individual
Prefix:MRS
First Name:YANA
Middle Name:
Last Name:STRUTIN-GOLDSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YANA
Other - Middle Name:
Other - Last Name:GOLDSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MARRIED NAME
Mailing Address - Street 1:2546 E 13TH ST APT A16
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-4322
Mailing Address - Country:US
Mailing Address - Phone:917-553-7605
Mailing Address - Fax:
Practice Address - Street 1:2546 E 13TH ST APT A16
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4322
Practice Address - Country:US
Practice Address - Phone:917-553-7605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-06
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency