| Doctor Name: | MRS. EILEEN NORA RELLA |
| NPI Number: | 1023336302 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 0693571 |
| Business Practice Address: | 9745 Queens Blvd Rego Park, NY - 113742116 |
| Business Phone Number: | 7188309274 |
| Business Fax Number: | |
| Mailing Address: | 97-45 Queens Blvd, REGO PARK |
| State: | NY |
| Postal Code: | 11374 |
| Phone Number: | 7188309274 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2010 |
| NPI Last Update Date: | 10/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0693571 |
| 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 |