Mrs. Imani Lydia Elliott
Mrs. Imani Lydia Elliott is a Specialist in Forest Hills, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
7000 Austin St Ste 200Forest Hills, NY 11375-4739
Phone: (718) 762-7633
Fax: (718) 888-8694
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 1518420603 (NY) |
Record details
| NPI number | 1518420603 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 7, 2019 |
| Last updated in NPPES | October 31, 2022 |
| Certification date | October 31, 2022 |
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Corneilia Estream
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