David Abramov
Individual provider Active NPI Counselor · Brooklyn, NY
NPI 1104413780 · NPPES record last updated Dec 29, 2020
Key facts
- NPI
- 1104413780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1268 E 14TH St
Brooklyn, NY 11230-5241 - Phone
- (718) 686-3400
- Fax
- (718) 686-4400
- NPI assigned
- Dec 29, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1268 E 14TH St
Brooklyn, NY 11230-5241
Mailing address
1268 E 14TH St
Brooklyn, NY 11230-5241
Phone (718) 686-3400
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.