Provider Demographics
NPI:1164682498
Name:ARONOWITZ, ABBY SUSAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ABBY
Middle Name:SUSAN
Last Name:ARONOWITZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 SOUTH ST 100
Mailing Address - Street 2:
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771-2239
Mailing Address - Country:US
Mailing Address - Phone:631-455-8243
Mailing Address - Fax:
Practice Address - Street 1:179 SOUTH ST
Practice Address - Street 2:STE #100
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-2239
Practice Address - Country:US
Practice Address - Phone:631-455-8243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2015-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009106-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist