Provider Information for 1497072029
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Mrs. ELISA MANTEL-SMITH LCSW
Sex: Female
NPI: 1497072029
Last Updated: 2010-04-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1497072029 | ||||||||||||
| Enumeration Date | 2010-04-21 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 68 E 7TH ST # 1 NEW YORK, NY 10003-8400 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 83 MAIDEN LN NEW YORK, NY 10038-4812 United States Phone: 212-780-2500 | Fax: | ||||||||||||
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