| NPI | 1396024386 |
|---|---|
| Doing Business As | ELBA I SOTO |
| Entity Type | Organization |
| Authorized Contact | ELBA I SOTO Lincensed Clinical Social Worker 646-660-0271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 069659-1) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |