Abraham, Diana
Abraham, Diana is an sole proprietor health care provider with primary practice located at 10230 67Th Ave 3L, Forest Hills NY 11375-2455. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Abraham, Diana can be contacted via phone (646) 353-3831.Contact Information
Primary practice address
10230 67Th Ave 3L
Forest Hills NY 11375-2455
Phone: (646) 353-3831
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1380723 | New York |
Profile Details
| NPI number | 1154767036 |
|---|---|
| LBN Legal business name | Abraham, Diana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2013 |
| Last updated | May 17th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154767036 | NPPES |
| New York | MEDICAID | UT77673H |
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