Provider Demographics
NPI:1225345655
Name:ABRAMS, JESSICA SANCHEZ (MA, SLP-CCC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:SANCHEZ
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:MA, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43-09 104 ST
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368
Mailing Address - Country:US
Mailing Address - Phone:718-767-0091
Mailing Address - Fax:
Practice Address - Street 1:15050 14TH RD
Practice Address - Street 2:C/O ALL IN 1 SPOT
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-2607
Practice Address - Country:US
Practice Address - Phone:718-767-0091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019517-1235Z00000X
NY1240918235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist