Provider Demographics
NPI:1710784368
Name:YANOVITSKY-GERSHGORIN, FAIGA REBECCA
Entity type:Individual
Prefix:DR
First Name:FAIGA
Middle Name:REBECCA
Last Name:YANOVITSKY-GERSHGORIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16500 COLLINS AVE # TH8
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4539
Mailing Address - Country:US
Mailing Address - Phone:305-851-1424
Mailing Address - Fax:
Practice Address - Street 1:16500 COLLINS AVE # TH8
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4539
Practice Address - Country:US
Practice Address - Phone:305-851-1424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL23271225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist