Provider Demographics
NPI:1245607654
Name:ELF SERVICES, LLC
Entity Type:Organization
Organization Name:ELF SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER / MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PALATNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-666-3366
Mailing Address - Street 1:200 FARM BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1077
Mailing Address - Country:US
Mailing Address - Phone:646-666-3366
Mailing Address - Fax:
Practice Address - Street 1:200 FARM BRIDGE RD
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1077
Practice Address - Country:US
Practice Address - Phone:646-666-3366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency