Polyakov, Elina

Polyakov, Elina is an sole proprietor health care provider with primary practice located at 150 Airport Executive Park Suite 152, Nanuet NY 10954-5261. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Polyakov, Elina can be contacted via phone (646) 312-9473.

Contact Information

Primary practice address
150 Airport Executive Park Suite 152 Nanuet NY 10954-5261
Phone: (646) 312-9473
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SL05435900 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 070111-1 New York

Profile Details

NPI number 1205000833
LBN Legal business name Polyakov, Elina
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2008
Last updated Apr 15th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers