Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elisa King, PROVISIONALPSS

Individual provider Peer Specialist · NPI 1255086542

Elisa King, PROVISIONALPSS is a Peer Specialist in Bronx, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
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Practice location Address checks out

1560 Townsend Ave Apt 2I
Bronx, NY 10452-6021
Phone: (347) 556-7598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence NYCPS-P-2077 (NY)

Record details

NPI number1255086542
Entity typeIndividual (Type 1)
GenderFemale
Credentials PROVISIONALPSS
Sole proprietorNo
NPI enumeratedFebruary 16, 2022
Last updated in NPPESFebruary 16, 2022
Certification dateFebruary 16, 2022

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