# ELITE THERAGROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841642451
- **Authorized official:** JULIA LIPKINA MS ED (PRESIDENT/THERAPIST)
- **Authorized official phone:** (718) 664-8559

## Contact information

- **Practice address:** 1641 OCEAN AVE APT B3, BROOKLYN, NY 11230-5009
- **Practice address phone:** (718) 664-8559
- **Mailing address:** 1641 OCEAN AVE APT B3, BROOKLYN, NY 11230-5009
- **Mailing address phone:** (718) 664-8559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 2224073 | NY | Yes |

## Other

- **Enumeration date:** 07/07/2016
- **Last updated:** 07/07/2016