Provider Demographics
NPI:1629358585
Name:STRAMA, INEZ (PSYD)
Entity Type:Individual
Prefix:DR
First Name:INEZ
Middle Name:
Last Name:STRAMA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WILLOUGHBY AVENUE
Mailing Address - Street 2:WILLOUGHBY HALL SUITE 117
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-3899
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 WILLOUGHBY AVENUE
Practice Address - Street 2:WILLOUGHBY HALL SUITE 117
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-3899
Practice Address - Country:US
Practice Address - Phone:718-399-4542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021830103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical