Abraham, Beverly Ann

Abraham, Beverly Ann is an individual health care provider with primary practice located at 39 Grandview Avenue , Cornwall On Hudson NY 12520-1217. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Abraham, Beverly Ann can be contacted via phone (845) 534-4385.

Contact Information

Primary practice address
39 Grandview Avenue Cornwall On Hudson NY 12520-1217
Phone: (845) 534-4385
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 013183 New York

Profile Details

NPI number 1932246238
LBN Legal business name Abraham, Beverly Ann
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Feb 5th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932246238 NPPES
New York MEDICAID 01898448

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