| Doctor Name: | JANE ELSON |
| NPI Number: | 1013993997 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 072080-1 |
| Business Practice Address: | 276 Wolf Hill Rd Melville, NY - 117471362 |
| Business Phone Number: | 6314252909 |
| Business Fax Number: | 6313854791 |
| Mailing Address: | 276 Wolf Hill Rd, MELVILLE |
| State: | NY |
| Postal Code: | 117471362 |
| Phone Number: | 6314252909 |
| Fax Number: | 6313854791 |
| NPI Enumeration Date: | 12/21/2005 |
| NPI Last Update Date: | 07/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 072080-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |