Provider Demographics
NPI:1649475203
Name:ASHKINADZE, ELENA RIMAR (MS)
Entity type:Individual
Prefix:MRS
First Name:ELENA
Middle Name:RIMAR
Last Name:ASHKINADZE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:ELENA
Other - Middle Name:
Other - Last Name:ASHKINADZE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:44 WINDSONG CIR
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5327
Mailing Address - Country:US
Mailing Address - Phone:732-718-5700
Mailing Address - Fax:732-235-5230
Practice Address - Street 1:44 WINDSONG CIR
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5327
Practice Address - Country:US
Practice Address - Phone:732-718-5700
Practice Address - Fax:732-235-5230
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
170300000X
NJ170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS