Abrams, Judith

Abrams, Judith is an individual health care provider with primary practice located at Clove Lakes Center For Psych 1346 Victory Boulevard, State Island NY 10301. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Abrams, Judith can be contacted via phone (917) 273-2300.

Contact Information

Primary practice address
Clove Lakes Center For Psych 1346 Victory Boulevard State Island NY 10301
Phone: (917) 273-2300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R0275121 New York

Profile Details

NPI number 1952490138
LBN Legal business name Abrams, Judith
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1952490138 NPPES
New York Other 144871 VALUE OPTIONS
New York MEDICAID 01779900 VALUE OPTIONS
New York Other 7400243 VALUE OPTIONS

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