Provider Demographics
NPI:1093982167
Name:ABRAMS, DAVID MORRILL (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MORRILL
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:M
Other - Last Name:ABRAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:47 PELL PL
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-4511
Mailing Address - Country:US
Mailing Address - Phone:914-632-3441
Mailing Address - Fax:
Practice Address - Street 1:47 PELL PL
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-4511
Practice Address - Country:US
Practice Address - Phone:914-632-3441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005527103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical