Provider Demographics
NPI:1083006548
Name:ABREU, LAYNES Y
Entity Type:Individual
Prefix:
First Name:LAYNES
Middle Name:Y
Last Name:ABREU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2447 EASTCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-5915
Mailing Address - Country:US
Mailing Address - Phone:646-260-7191
Mailing Address - Fax:
Practice Address - Street 1:2825 GRAND CONCOURSE
Practice Address - Street 2:3G
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-1964
Practice Address - Country:US
Practice Address - Phone:646-260-7191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency