Individual provider · Type 1 NPI
Elona Esther Poltiyelova, DO
Student in an Organized Health Care Education/Training Program · Phoenix, AZ
NPI number
1760177117
Active
Practice location
19829 N 27th Ave
Phoenix, AZ 85027-4001
Mailing address
7323 192nd St
Fresh Meadows, NY 11366-1857
Other practice locations
- 100 Woods Rd, Valhalla, NY 10595-1530 · (914) 493-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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- Trevin Reyes, MDStudent in an Organized Health Care Education/Training Program Phoenix, AZ NPI 1003743725
About NPI 1760177117
Elona Esther Poltiyelova, DO's National Provider Identifier is 1760177117, issued on Apr 10, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on May 18, 2026.