Provider Demographics
NPI:1902110026
Name:BIFFI, ELENA Z (OD, MSC, FAAO)
Entity Type:Individual
Prefix:DR
First Name:ELENA
Middle Name:Z
Last Name:BIFFI
Suffix:
Gender:F
Credentials:OD, MSC, FAAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 BEACON ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-1129
Mailing Address - Country:US
Mailing Address - Phone:781-588-2137
Mailing Address - Fax:
Practice Address - Street 1:424 BEACON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-1129
Practice Address - Country:US
Practice Address - Phone:781-588-2137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007628152W00000X
MA4855TP152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist