Provider Demographics
NPI:1275672925
Name:EQUINDA, DENISE ABRAMS (MS ED)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:ABRAMS
Last Name:EQUINDA
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 102
Mailing Address - Street 2:
Mailing Address - City:WESTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11977
Mailing Address - Country:US
Mailing Address - Phone:631-807-1222
Mailing Address - Fax:
Practice Address - Street 1:661 SUMMIT BLVD
Practice Address - Street 2:
Practice Address - City:WEST HAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11977
Practice Address - Country:US
Practice Address - Phone:631-807-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0807211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist