Bella Abramovich

Individual provider Active NPI Early Intervention Provider Agency · New York, NY

NPI 1023313871 · NPPES record last updated Jan 25, 2011

Key facts

NPI
1023313871
Entity type
Individual (NPI type 1)
Primary specialty
Early Intervention Provider Agency 252Y00000X
License
825503 (NY)
Practice address
4 Park Ave
Apt 9R
New York, NY 10016-5339
Phone
(917) 817-3920
NPI assigned
Jan 25, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
825503NYMDEarly Intervention Provider Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Enigma Management Corp Dba Alliance Laboratory Current Accepting new patients
Bayside Laboratories Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 825503 NY Yes

Addresses

Primary practice location

4 Park Ave
Apt 9R
New York, NY 10016-5339

Mailing address

4 Park Ave
Apt 9R
New York, NY 10016-5339
Phone (917) 817-3920

Other providers in New York, NY

All providers in New York, NY · Early Intervention Provider Agency in New York

Sources for this page

Verify at the official NPI Registry.