Provider Demographics
NPI:1407569361
Name:ELENA STYBEL MEDICAL PC
Entity Type:Organization
Organization Name:ELENA STYBEL MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:STYBEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-837-8500
Mailing Address - Street 1:7714 BAY PKWY APT 1A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-1535
Mailing Address - Country:US
Mailing Address - Phone:718-837-8500
Mailing Address - Fax:718-837-1697
Practice Address - Street 1:7714 BAY PKWY APT 1A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-1535
Practice Address - Country:US
Practice Address - Phone:718-837-8500
Practice Address - Fax:718-837-1697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty