Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 083264 | NY |
NPI | 1003224254 |
---|---|
Provider Name | Anastasiya Abramov |
First Address | Brooklyn, NY 11229-1209 |
Second Address | Brooklyn, NY 11229-1209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2014 |
Last Update Date | 31/07/2014 |