Provider Demographics
NPI:1740039593
Name:ELEFF, EMILY DEBORAH (DPT)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:DEBORAH
Last Name:ELEFF
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2907
Mailing Address - Country:US
Mailing Address - Phone:732-585-5003
Mailing Address - Fax:
Practice Address - Street 1:22 HARRISON ST
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2907
Practice Address - Country:US
Practice Address - Phone:732-585-5003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037918225100000X
NJ40QA01849900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist