Provider Demographics
NPI:1700033701
Name:ABRAMOVITZ, RACHELLE (PHD,CCC-A)
Entity Type:Individual
Prefix:DR
First Name:RACHELLE
Middle Name:
Last Name:ABRAMOVITZ
Suffix:
Gender:F
Credentials:PHD,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7519 190TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1855
Mailing Address - Country:US
Mailing Address - Phone:718-464-5422
Mailing Address - Fax:718-548-0901
Practice Address - Street 1:7519 190TH ST
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1855
Practice Address - Country:US
Practice Address - Phone:718-464-5422
Practice Address - Fax:718-548-0901
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000252-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist