Healthcare Provider Details

I. General information

NPI: 1346597911
Provider Name (Legal Business Name): ELANA SHOYKHET
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2012
Last Update Date: 10/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 BROADWAY
DOBBS FERRY NY
10522-1186
US

IV. Provider business mailing address

555 BROADWAY
DOBBS FERRY NY
10522-1186
US

V. Phone/Fax

Practice location:
  • Phone: 877-637-2946
  • Fax:
Mailing address:
  • Phone: 877-637-2946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: