Provider Demographics
NPI:1023693769
Name:AMINOV, ELINOR
Entity type:Individual
Prefix:MRS
First Name:ELINOR
Middle Name:
Last Name:AMINOV
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6121 185TH ST # 2
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-2118
Mailing Address - Country:US
Mailing Address - Phone:212-666-6610
Mailing Address - Fax:
Practice Address - Street 1:6121 185TH ST # 2
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-2118
Practice Address - Country:US
Practice Address - Phone:212-666-6610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor