Organization
ELITE INTEGRATIVE GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELA SUYUNOVA (OWNER)
(646) 752-4685
Entity
Organization
Contact information
Practice address
5422 W THUNDERBIRD RD # 202, GLENDALE, AZ 85306-4700
(646) 752-4685
Mailing address
5422 W THUNDERBIRD RD # 202, GLENDALE, AZ 85306-4700
(646) 752-4685
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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