Individual
MS. AMANDA BROOKE ELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
250 FULTON AVE, HEMPSTEAD, NY 11550-3917
(516) 485-5710
Mailing address
63 TAFT AVE, LYNBROOK, NY 11563-1428
(516) 242-0548
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12214901
NY
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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