Most Relevant Information
Provider Data
| NPI Number: | 1003683426 |
| Provider Name: | AMANDA BROOKE ELIA LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 12214901 |
Most Important Dates
| Enumeration Date: | 12/06/2023 |
| Last Updated: | 12/06/2023 |
Provider Practice Location
250 FULTON AVE
HEMPSTEAD
NY
115503917
Practice Location Phone/Fax
| Phone: | 5164855710 |
| Fax: |
Provider Mailing Location
63 TAFT AVE
LYNBROOK
NY
115631428
Provider Mailing Phone/Fax
| Phone: | 5162420548 |
| Fax: |