Provider Demographics
NPI:1336932763
Name:MOREL, ELISHA BERNISE
Entity type:Individual
Prefix:MS
First Name:ELISHA
Middle Name:BERNISE
Last Name:MOREL
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 1:1665 ANDREWS AVE S APT 5H
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-7328
Mailing Address - Country:US
Mailing Address - Phone:917-226-9370
Mailing Address - Fax:
Practice Address - Street 1:1665 ANDREWS AVE S APT 5H
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-7328
Practice Address - Country:US
Practice Address - Phone:917-226-9370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator