Provider Demographics
NPI:1386462281
Name:ELIAS, NOEMI
Entity type:Individual
Prefix:
First Name:NOEMI
Middle Name:
Last Name:ELIAS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 SICKLES ST APT 5C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-1865
Mailing Address - Country:US
Mailing Address - Phone:224-334-2159
Mailing Address - Fax:
Practice Address - Street 1:1 ECHO HILLS
Practice Address - Street 2:CORDERO BUILDING
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522
Practice Address - Country:US
Practice Address - Phone:332-373-1771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool