Provider Demographics
NPI:1639561970
Name:ABREU, CEMI (MS ATC)
Entity Type:Individual
Prefix:MR
First Name:CEMI
Middle Name:
Last Name:ABREU
Suffix:
Gender:M
Credentials:MS ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 BROADWAY # MC1915
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-6907
Mailing Address - Country:US
Mailing Address - Phone:212-854-3178
Mailing Address - Fax:
Practice Address - Street 1:3030 BROADWAY # MC1915
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-6907
Practice Address - Country:US
Practice Address - Phone:212-854-3178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2016-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0018312255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer