Provider Demographics
NPI:1912089954
Name:ADAN, ELENA P (MD)
Entity Type:Individual
Prefix:DR
First Name:ELENA
Middle Name:P
Last Name:ADAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:469 17TH ST
Mailing Address - Street 2:APT. 1 L
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-6253
Mailing Address - Country:US
Mailing Address - Phone:718-701-5019
Mailing Address - Fax:
Practice Address - Street 1:9502 GLENWOOD RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3460
Practice Address - Country:US
Practice Address - Phone:718-257-7788
Practice Address - Fax:718-272-7433
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1737192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry