Most Relevant Information
Provider Data
| NPI Number: | 1003414590 |
| Provider Name: | ELIANA SIMON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/15/2020 |
| Last Updated: | 10/15/2020 |
Provider Practice Location
1623 KINGS HWY
BROOKLYN
NY
112291209
Practice Location Phone/Fax
| Phone: | 7189543800 |
| Fax: |
Provider Mailing Location
1623 KINGS HWY
BROOKLYN
NY
112291209
Provider Mailing Phone/Fax
| Phone: | 7189543800 |
| Fax: |