Individual
MS. ELENA BORISOVNA STYBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 W OAK ST, AMITYVILLE, NY 11701-2927
(631) 264-1800
(631) 264-1813
Mailing address
100 W OAK ST, AMITYVILLE, NY 11701-2927
(631) 264-1800
(631) 264-1813
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
224376
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02581428
—
NY
01
—
159265
VYTRA
NY
01
—
1780360
CIGNA
NY
01
—
5996897
GHI
NY
01
—
7497491
UNITED HEALTH CARE
NY
01
—
ES00263P10
BLUE CROSS BLUE SHIELD
NY
01
—
P3072088
OXFORD
NY
Enumeration date
10/25/2006
Last updated
04/09/2021
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