Provider Demographics
NPI:1568752624
Name:ABRAMCHAYEVA, ANGILINA
Entity Type:Individual
Prefix:MISS
First Name:ANGILINA
Middle Name:
Last Name:ABRAMCHAYEVA
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ANGILINA
Other - Middle Name:
Other - Last Name:ABRAMCHAYEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14423 78TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3430
Mailing Address - Country:US
Mailing Address - Phone:917-478-5002
Mailing Address - Fax:
Practice Address - Street 1:3136 88TH ST
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11369-1415
Practice Address - Country:US
Practice Address - Phone:718-205-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1277448101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool