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
Fax: (315) 733-7105
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346574340 NPPES
New York MEDICAID 01039156
New York MEDICAID 03702105

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