Provider Demographics
NPI:1578968764
Name:ELENA GINSBERG FAMILY HEALTH NP, PC
Entity Type:Organization
Organization Name:ELENA GINSBERG FAMILY HEALTH NP, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:GINSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:203-561-0675
Mailing Address - Street 1:48 SUMNER RD
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-2720
Mailing Address - Country:US
Mailing Address - Phone:203-561-0675
Mailing Address - Fax:203-869-9669
Practice Address - Street 1:18 JEUNGST RD
Practice Address - Street 2:
Practice Address - City:CROTON FALLS
Practice Address - State:NY
Practice Address - Zip Code:10519
Practice Address - Country:US
Practice Address - Phone:203-561-0675
Practice Address - Fax:203-869-9669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33 106795163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty