Abraham, Lora A.
Abraham, Lora A. is an individual health care provider with primary practice located at 1427 Genesee St , Utica NY 13501-4343. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Abraham, Lora A. can be contacted via phone (315) 738-1428.Contact Information
Primary practice address
1427 Genesee St
Utica NY 13501-4343
Phone: (315) 738-1428
Fax: (315) 733-7105
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 078956 | New York |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 080159 | New York |
Profile Details
NPI number | 1346574340 |
---|---|
LBN Legal business name | Abraham, Lora A. |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 23rd, 2009 |
Last updated | Oct 9th, 2015 - about 9 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 | 1346574340 | NPPES |
New York | MEDICAID | 01039156 | |
New York | MEDICAID | 03702105 |
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