| Doctor Name: | ELENA FYFE |
| NPI Number: | 1114327285 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 1262772 |
| Business Practice Address: | 55 Pittsfield Rd Ste 12c Lenox, MA - 012402122 |
| Business Phone Number: | 4133441750 |
| Business Fax Number: | |
| Mailing Address: | 114 Mcarthur St, PITTSFIELD |
| State: | MA |
| Postal Code: | 012013174 |
| Phone Number: | 4137703126 |
| Fax Number: | |
| NPI Enumeration Date: | 08/26/2014 |
| NPI Last Update Date: | 08/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 1262772 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |