Provider Demographics
NPI:1700857513
Name:ROZENFELD, ELENA (AC ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:ROZENFELD
Suffix:
Gender:F
Credentials:AC ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 NORTH AVE
Mailing Address - Street 2:APT 24M
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024
Mailing Address - Country:US
Mailing Address - Phone:201-461-6247
Mailing Address - Fax:201-461-6749
Practice Address - Street 1:452 OLD HOOK RD
Practice Address - Street 2:STE 102
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630
Practice Address - Country:US
Practice Address - Phone:201-576-0325
Practice Address - Fax:201-576-0326
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
25MZ00041200171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist