Provider Demographics
NPI:1285324269
Name:KAMAL, ELIZA NEISHA (LMSW)
Entity type:Individual
Prefix:
First Name:ELIZA
Middle Name:NEISHA
Last Name:KAMAL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9244 175TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11433-1317
Mailing Address - Country:US
Mailing Address - Phone:646-384-1413
Mailing Address - Fax:
Practice Address - Street 1:14404 70TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1714
Practice Address - Country:US
Practice Address - Phone:646-384-1413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker