Revital Abrahami, LMSW
Individual provider Active NPI Social Worker · Tarrytown, NY
NPI 1245055755 · NPPES record last updated Nov 19, 2024
Key facts
- NPI
- 1245055755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 125536-01 (NY)
- Practice address
- 273 S Broadway Apt C
Tarrytown, NY 10591-5332 - Phone
- (561) 866-7156
- NPI assigned
- Nov 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125536-01 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 125536-01 | NY | Yes |
Addresses
Primary practice location
273 S Broadway Apt C
Tarrytown, NY 10591-5332
Mailing address
273 S Broadway Apt C
Tarrytown, NY 10591-5332
Phone (561) 866-7156
Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2024. 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.