Provider Demographics
NPI:1598963480
Name:ELKIS-ABUHOFF, DEBORAH LYNN (PHD, ATR-BC, LCAT)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:LYNN
Last Name:ELKIS-ABUHOFF
Suffix:
Gender:F
Credentials:PHD, ATR-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HUTCH CT
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5006
Mailing Address - Country:US
Mailing Address - Phone:631-921-5702
Mailing Address - Fax:631-499-1750
Practice Address - Street 1:5 HUTCH CT
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-5006
Practice Address - Country:US
Practice Address - Phone:631-921-5702
Practice Address - Fax:631-499-1750
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015619103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist