Provider Demographics
NPI:1265829667
Name:ABROMS, MARK
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:ABROMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1090 AMSTERDAM AVENUE SUITE 16A
Mailing Address - Street 2:MOUNT SINAI ST. LUKE'S
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1090 AMSTERDAM AVENUE SUITE 16A
Practice Address - Street 2:MOUNT SINAI ST. LUKE'S
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:212-523-5089
Practice Address - Fax:212-523-1685
Is Sole Proprietor?:No
Enumeration Date:2015-04-23
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2889112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry