ERIC GERALD ELIE
NPI 1770057267
Peer Specialist in Coram, NY

Active since January 17, 2019
3600 ROUTE 112, CORAM, NY 11727(631) 920-8302(631) 920-8462 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 9, 2026, Jan 17, 2019 (2 updates tracked since 2019).

About Eric Gerald Elie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC GERALD ELIE (NPI 1770057267) is an individual peer specialist in Coram, New York and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1770057267
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameERIC GERALD ELIE
Location Address3600 ROUTE 112Coram, NY 11727-4116
Mailing Address51 Hill StPatchogue, NY 11772-3207 · (215) 987-8740
Fax(631) 920-8462
Sole ProprietorNo
Enumeration DateJanuary 17, 2019
Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
NPI 1770057267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

3600 ROUTE 112, Coram, NY 11727

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker
3600 ROUTE 112
CORAM, NY 11727
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Art Therapist
3600 ROUTE 112
CORAM, NY 11727
Social Worker (Clinical)
3600 ROUTE 112
CORAM, NY 11727
Nurse Practitioner (Psychiatric/Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Behavior Analyst
3600 ROUTE 112
CORAM, NY 11727
Social Worker (Clinical)
3600 ROUTE 112
CORAM, NY 11727
Nurse Practitioner (Psychiatric/Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Community/Behavioral Health
3600 ROUTE 112
CORAM, NY 11727
Counselor
3600 ROUTE 112
CORAM, NY 11727
Counselor
3600 ROUTE 112
CORAM, NY 11727
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Social Worker
3600 ROUTE 112
CORAM, NY 11727
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Registered Nurse
3600 ROUTE 112
CORAM, NY 11727
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Student in an Organized Health Care Education/Training Program
3600 ROUTE 112
CORAM, NY 11727
Student in an Organized Health Care Education/Training Program
3600 ROUTE 112
CORAM, NY 11727

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770057267, enumerated as an "individual" on January 17, 2019.

The provider is located at 3600 ROUTE 112 CORAM, NY 11727 and the phone number is (631) 920-8302.

Peer Specialist with taxonomy code 175T00000X.