Provider Demographics
NPI:1780752477
Name:VERKHOVSKY, LENA (MD)
Entity type:Individual
Prefix:DR
First Name:LENA
Middle Name:
Last Name:VERKHOVSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LENA
Other - Middle Name:
Other - Last Name:VERKHOVSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:185 E 85TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2140
Mailing Address - Country:US
Mailing Address - Phone:212-517-5572
Mailing Address - Fax:212-208-0955
Practice Address - Street 1:185 E 85TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2140
Practice Address - Country:US
Practice Address - Phone:212-517-5572
Practice Address - Fax:212-208-0955
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2024052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG79121Medicare UPIN