Provider Demographics
NPI:1356843346
Name:BITTER, ELISE
Entity Type:Individual
Prefix:
First Name:ELISE
Middle Name:
Last Name:BITTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 RENSSELAER RD
Mailing Address - Street 2:
Mailing Address - City:ESSEX FELLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07021-1303
Mailing Address - Country:US
Mailing Address - Phone:201-341-5390
Mailing Address - Fax:
Practice Address - Street 1:101 AVENUE OF THE AMERICAS FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1905
Practice Address - Country:US
Practice Address - Phone:201-341-5390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-06
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty