Eli Portal, LMSW

NPI #1033750609 in Far Rockaway, New York

Provider Information

NPI Number
1033750609
Entity Type
Individual
Name
Eli Portal, LMSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
LMSW
Enumeration Date
Oct 3, 2019
Last Updated
Oct 3, 2019

Practice Location

Address
1600 CENTRAL AVE
ZIP Code
11691-4000
Phone
(212) 675-1000

Specialties & Taxonomy Codes

Specialty
Social Worker

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