Provider Demographics
NPI:1669004651
Name:ELDI, HOLLY ANGELA (OTR/L, SCEM, ATP)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:ANGELA
Last Name:ELDI
Suffix:
Gender:F
Credentials:OTR/L, SCEM, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 19TH STREET
Mailing Address - Street 2:APARTMENT 2A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215
Mailing Address - Country:US
Mailing Address - Phone:516-509-9627
Mailing Address - Fax:
Practice Address - Street 1:NYULH, 240 EAST 38TH STREET
Practice Address - Street 2:SUITE 17-14
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1001
Practice Address - Country:US
Practice Address - Phone:212-263-6016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist