Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 009089 | NY |
N | 103TC0700X | Clinical Psychologist | 009089 | NY |
N | 103G00000X | Clinical Psychologist | PY-0005327 | FL |
N | 103TC0700X | Clinical Psychologist | PY-0005327 | FL |
N | 102L00000X | Psychologist | 009089 | NY |
N | 103T00000X | Psychologist | 009089 | NY |
N | 102L00000X | Psychologist | PY-0005327 | FL |
N | 103T00000X | Psychologist | PY-0005327 | FL |
N | 103G00000X | Clinical Psychologist | 009089 | NY |
N | 103TC0700X | Clinical Psychologist | 009089 | NY |
N | 103G00000X | Clinical Psychologist | PY-0005327 | FL |
N | 103TC0700X | Clinical Psychologist | PY-0005327 | FL |
N | 103TF0200X | Forensic Psychologist | 009089 | NY |
N | 103TF0200X | Forensic Psychologist | PY-0005327 | FL |
NPI | 1013059310 |
---|---|
Provider Name | Dr. Laurence Marc Abelove |
First Address | Lynbrook, NY 11563-3397 |
Second Address | Lynbrook, NY 11563-3397 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 08/07/2007 |