Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 104896 | NY |
NPI | 1003471889 |
---|---|
Provider Name | Abby Strauss |
First Address | New York, NY 10017-5538 |
Second Address | New York, NY 10017-5538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2019 |
Last Update Date | 07/05/2019 |