| Doctor Name: | YELENA FAYNZILBERT |
| NPI Number: | 1063670750 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 5101017608 |
| Business Practice Address: | 27351 Dequindre Rd Madison Hts, MI - 480713487 |
| Business Phone Number: | 2489677795 |
| Business Fax Number: | 2489677794 |
| Mailing Address: | 27351 Dequindre Rd, MADISON HTS |
| State: | MI |
| Postal Code: | 480713487 |
| Phone Number: | 2489677795 |
| Fax Number: | 2489677794 |
| NPI Enumeration Date: | 05/29/2008 |
| NPI Last Update Date: | 05/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5101017608 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |