Provider Demographics
NPI:1376327742
Name:PABON, DENISE (LMSW)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:PABON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 WATERS PL FRNT 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2253
Mailing Address - Country:US
Mailing Address - Phone:718-794-3227
Mailing Address - Fax:
Practice Address - Street 1:1200 WATERS PL FRNT 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2253
Practice Address - Country:US
Practice Address - Phone:718-794-3227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor