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1477638179 NPI number — ELENA BORISOVNA STYBEL DO

NPI Number: 1477638179
Health Care Provider/Practitioner: ELENA BORISOVNA STYBEL DO

Information about “1477638179” NPI (ELENA BORISOVNA STYBEL DO) exists in 1477638179 in HTML format HTML  |  1477638179 in plain Text format TXT  |  1477638179 in PDF (Portable Document Format) PDF  |  1477638179 in an XML format XML  formats.

NPI Number : 1477638179 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477638179",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STYBEL",
    "FirstName": "ELENA",
    "MiddleName": "BORISOVNA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STYBEL",
    "OtherFirstName": "ELENA",
    "OtherMiddleName": "BORISOVNA",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD/DO",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "100 W OAK ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AMITYVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11701-2927",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-264-1800",
    "MailingAddressFaxNumber": "631-264-1813",
    "FirstLinePracticeLocationAddress": "100 W OAK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AMITYVILLE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11701-2927",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-264-1800",
    "PracticeLocationAddressFaxNumber": "631-264-1813",
    "EnumerationDate": "10/25/2006",
    "LastUpdateDate": "04/09/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "224376",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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