Forman, Eli Michael Simong

Forman, Eli Michael Simong is an individual health care provider with primary practice located at 431 Park Avenue , Leonia NJ 07605-1219. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Forman, Eli Michael Simong can be contacted via phone (201) 592-7388.

Contact Information

Primary practice address
431 Park Avenue Leonia NJ 07605-1219
Phone: (201) 592-7388
Fax: (201) 592-6301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5688633 New York
Behavioral Health & Social Service Providers / Professional 101YP2500X 0019 Maryland
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X M038 Maryland
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC13681 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 37F100059900 New Jersey

Profile Details

NPI number 1033218714
LBN Legal business name Forman, Eli Michael Simong
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 18 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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