Ellouise Summerville

NPI 1255604161 - Social Worker - 104100000X

NPI Details
NPI 1255604161
Gender Female
Enumeration Date 02/23/2012
Last Updated 02/23/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2534 STEINWAY ST
ASTORIA NY, 11103-3702, US
Phone (718) 777-5243
Fax
Business Location
158 DUBOIS AVE
STATEN ISLAND NY, 10310-2265, US
Phone (718) 877-3209
Fax
Toxanomy
Taxonomy Code 104100000X
License State New York
License Number 084820
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According to our database, Ellouise Summerville NPI is 1255604161, taxonomy code is 104100000X and license number is 084820, license state is located at New York. Ellouise Summerville physically located at 2534 Steinway St, Astoria NY, 11103-3702. NPI Number Ellouise Summerville has the Individual type.

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1255604161 NPI number is provided on an as is basis without warranty of any kind. 1255604161 is maintained by the National Plan & Provider Enumeration System. The contents of Ellouise Summerville are for informational purposes only.