Provider Demographics
NPI:1508989203
Name:ABRAMOWITZ, ELLIOT STEVEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELLIOT
Middle Name:STEVEN
Last Name:ABRAMOWITZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 BROADWAY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2014
Mailing Address - Country:US
Mailing Address - Phone:516-569-5523
Mailing Address - Fax:516-569-5523
Practice Address - Street 1:1229 BROADWAY
Practice Address - Street 2:SUITE 210
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-2014
Practice Address - Country:US
Practice Address - Phone:516-569-5523
Practice Address - Fax:516-569-5523
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11268103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY078874OtherVALUE OPTIONS
NYVOC201Medicare ID - Type UnspecifiedMEDICARE