Individual provider · NPI-1

Elena Dolginova, PT

Preventive Medicine, Occupational Medicine · Albany, NY

NPI number1114186475
StatusActive
Last updated in NPPESNov 4, 2013

Details

NPI
1114186475
Entity type
Individual (NPI-1)
Name
Elena Dolginova
Credential
PT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 3, 2008
Last updated
Nov 4, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083X0100X Preventive Medicine, Occupational Medicine020584NYYes

Practice location

10b Madison Ave
Albany, NY 12203

Phone 585-458-7910

Mailing address

5080 Spectrum Dr
Suite 1200 West Tower
Addison, TX 75001-4648

Phone 800-232-3550

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