Provider Demographics
NPI:1962838532
Name:EL AISSAOUI, ELENI
Entity Type:Individual
Prefix:
First Name:ELENI
Middle Name:
Last Name:EL AISSAOUI
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 1:13 YORK ST
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-2355
Mailing Address - Country:US
Mailing Address - Phone:516-902-9653
Mailing Address - Fax:
Practice Address - Street 1:13 YORK ST
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-2355
Practice Address - Country:US
Practice Address - Phone:516-902-9653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor