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Elena Sverdlova

Specialist in Staten Island, NY. Individual provider (NPI-1).

NPI number1346719952
StatusActive
Last updated in NPPESNov 13, 2018

Details

NPI
1346719952
Entity type
Individual (NPI-1)
Name
Elena Sverdlova
Sex
Female
Sole proprietor
No
Enumeration date
Nov 13, 2018
Last updated
Nov 13, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist2574241NYYes

Practice location

4131 Richmond Ave
Staten Island, NY 10312-5633

Phone 718-351-0308 · Fax 718-966-1864

Mailing address

4 Danielle Dr
Goshen, NY 10924-5512

Phone 718-674-4279

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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