Yelena Faynzilbert Do Pllc | |
62 Stratford Green Farmingdale NY 11735 | |
(631) 623-2144 | |
Not Available |
Full Name | Yelena Faynzilbert Do Pllc |
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Speciality | Family Medicine |
Location | 62 Stratford Green, Farmingdale, New York |
Authorized Official Name and Position | Yelena Faynzilbert (PRESIDENT) |
Authorized Official Contact | 6316232144 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Yelena Faynzilbert Do Pllc 62 Stratford Green Farmingdale NY 11735 Ph: (631) 623-2144 | Yelena Faynzilbert Do Pllc 62 Stratford Green Farmingdale NY 11735 Ph: (631) 623-2144 |
NPI Number | 1245667930 |
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Provider Enumeration Date | 09/26/2013 |
Last Update Date | 06/20/2018 |
Medicare PECOS PAC ID | 9436381654 |
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Medicare Enrollment ID | O20140422000841 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245667930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QG0300X | Family Medicine - Geriatric Medicine | 263077 (New York) | Primary |
Provider Name | Yelena M Faynzilbert |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063670750 PECOS PAC ID: 0840422051 Enrollment ID: I20140422000642 |
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