Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY ELIJAH KOOMA
ActiveBRADLEY ELIJAH KOOMA is a Mental Health Counselor healthcare provider located in JERICHO, New York. NPI 1932967478 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · JERICHO, NY
Registration Details
- NPI Number
- 1932967478
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2024 (2.4082470917469 yrs)
- Last Updated
- May 27, 2025
- License
-
013207 (NY)
Practice Information
- Address
-
350 JERICHO TPKE STE 103JERICHO, NY, 117531317Browse NY providers · Browse ZIP 11753
- Phone
- 5163995373
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in JERICHO, NY
| Name | Credential | NPI |
|---|---|---|
| ROSALIND ROSE | L.C.S.W. | 1326040031 |
| MS. JUNE ALICE COHEN | MA LMHC | 1750399937 |
| MS. IRENE LEAH KARP | RN, LMHC | 1053563080 |
| ERIN LIEBLER | LMHC | 1942652318 |
| ALEXANDRA NICOLE GREENWALD | — | 1508352592 |
| TAMI DITKOFF | — | 1992285753 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.