Provider Demographics
NPI:1578541181
Name:ABRAMOVITZ, JOEL (OTR L)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:ABRAMOVITZ
Suffix:
Gender:M
Credentials:OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BRIDLE RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1729
Mailing Address - Country:US
Mailing Address - Phone:845-729-0106
Mailing Address - Fax:
Practice Address - Street 1:23 WIDMAN CT
Practice Address - Street 2:UNIT 201
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-8308
Practice Address - Country:US
Practice Address - Phone:845-587-0928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0103271225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P47657Medicare UPIN