Provider Demographics
NPI:1619741238
Name:ABRAMS, KAHIME KENEYADA (MBA, MST, E-MD)
Entity Type:Individual
Prefix:
First Name:KAHIME
Middle Name:KENEYADA
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:MBA, MST, E-MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 DUMONT AVE APT 4B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-5419
Mailing Address - Country:US
Mailing Address - Phone:718-753-7885
Mailing Address - Fax:
Practice Address - Street 1:739 DUMONT AVE APT 4B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-5419
Practice Address - Country:US
Practice Address - Phone:718-753-7885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-14
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY794818101YP2500X, 101YS0200X, 174H00000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No174H00000XOther Service ProvidersHealth Educator