Individual
ERIC GERALD ELIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 ROUTE 112, CORAM, NY 11727-4116
(631) 920-8302
(631) 920-8462
Mailing address
51 HILL ST, PATCHOGUE, NY 11772-3207
(215) 987-8740
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
01/17/2019
Last updated
01/09/2026
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