Elliott, Imani Lydia
Elliott, Imani Lydia is an sole proprietor health care provider with primary practice located at 7000 Austin St Ste 200 , Forest Hills NY 11375-4739. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is her primary health care specialty. Elliott, Imani Lydia can be contacted via phone (718) 762-7633.Contact Information
Primary practice address
7000 Austin St Ste 200
Forest Hills NY 11375-4739
Phone: (718) 762-7633
Fax: (718) 888-8694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1518420603 | New York |
| Agencies / Early Intervention Provider Agency | 252Y00000X |
Profile Details
| NPI number | 1518420603 |
|---|---|
| LBN Legal business name | Elliott, Imani Lydia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2019 |
| Last updated | Oct 31st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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