Provider Demographics
NPI:1447490065
Name:PILYAVSKAYA, ELENA (MD)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:PILYAVSKAYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 OCEAN PKWY
Mailing Address - Street 2:APT 1M
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3425
Mailing Address - Country:US
Mailing Address - Phone:732-757-2715
Mailing Address - Fax:
Practice Address - Street 1:1000 OCEAN PKWY
Practice Address - Street 2:APT 1M
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3425
Practice Address - Country:US
Practice Address - Phone:732-757-2715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-22
Last Update Date:2009-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program