Provider Demographics
NPI:1518112820
Name:ABRAMZON, IRINA (TSHH, MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:ABRAMZON
Suffix:
Gender:F
Credentials:TSHH, MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-3112
Mailing Address - Country:US
Mailing Address - Phone:516-214-6739
Mailing Address - Fax:
Practice Address - Street 1:680 HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3112
Practice Address - Country:US
Practice Address - Phone:516-214-6739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013893235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist