Individual
MS. ELENA JIGOULSKAIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1021 AVENUE Z, BROOKLYN, NY 11235-5105
(718) 934-9508
(815) 550-1939
Mailing address
1021 AVENUE Z, BROOKLYN, NY 11235-5105
(718) 934-9508
(815) 550-1939
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005832
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113621037
HORIZON HEALTH CARE
NY
01
—
178651P
HIP HEALTH PLAN
NY
01
—
2409316
UNITEDHEALTHCARE
NY
01
—
8099763
GHI
NY
01
—
9376380
PHCS
NY
01
—
P3577141
OXFORD HEALTH PLANS
NY
Enumeration date
11/09/2005
Last updated
04/03/2019
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