Tobi Alissa Abramson, PH.D.

Key facts

NPI

1710035019

Entity type

Individual (NPI type 1)

Primary specialty

Adult Development & Aging Psychologist 103TA0700X

License

010847 (NY)

Practice address

1728 Broadway
Hewlett, NY 11557-1630

Phone

(516) 596-0073

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

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.

• Adc Psychological Services PLLC Adult Development & Aging Psychologist · Hewlett, NY · NPI 1235205360
  NPD (past) ADULT DEVELOPMENT & AGING

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Philosophy

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 29, 2011.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1710035019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MARION ST",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481114",
            "telephone_number": "516-484-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 BROADWAY",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571630",
            "telephone_number": "516-596-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMSON",
        "first_name": "TOBI",
        "middle_name": "ALISSA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "010847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Hewlett, NY · Adult Development & Aging Psychologist in New York