Provider Demographics
NPI:1154103109
Name:TAUB, ELIMELECH (MSW)
Entity type:Individual
Prefix:
First Name:ELIMELECH
Middle Name:
Last Name:TAUB
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 50TH ST APT 1D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-3542
Mailing Address - Country:US
Mailing Address - Phone:718-744-5267
Mailing Address - Fax:
Practice Address - Street 1:1245 50TH ST APT 1D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3542
Practice Address - Country:US
Practice Address - Phone:718-744-5267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker