Provider Demographics
NPI:1700017605
Name:ABBAS, UZMA (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:UZMA
Middle Name:
Last Name:ABBAS
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 ELWOOD RD
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-4006
Mailing Address - Country:US
Mailing Address - Phone:163-192-2229
Mailing Address - Fax:163-148-6213
Practice Address - Street 1:459 ELWOOD RD
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-4006
Practice Address - Country:US
Practice Address - Phone:163-192-2229
Practice Address - Fax:163-148-6213
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012475171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor