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1033750609
ELI PORTAL
FAR ROCKAWAY, NY
NPI
1033750609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 107451)
Enumeration Date
2019-10-03
Last Update Date
2019-10-03
Business Address
ELI PORTAL LMSW
1600 CENTRAL AVE
FAR ROCKAWAY, NY 11691-4000
Phone number: 212-675-1000
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Mailing Address
ELI PORTAL LMSW
1056 NEILSON ST APT 6A
FAR ROCKAWAY, NY 11691-5034
Phone number: 516-242-0973
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