Healthcare Provider Details

I. General information

NPI: 1649781956
Provider Name (Legal Business Name): ELOIZA MESSINA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2017
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E 23RD ST
NEW YORK NY
10010-4517
US

IV. Provider business mailing address

1260 BAY RIDGE PKWY
BROOKLYN NY
11228-2402
US

V. Phone/Fax

Practice location:
  • Phone: 646-787-7531
  • Fax:
Mailing address:
  • Phone: 646-932-3163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: