Provider Demographics
NPI:1760900971
Name:ABRAMS, CANDACY (TEACHER)
Entity Type:Individual
Prefix:MS
First Name:CANDACY
Middle Name:
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11112 178TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11433-4116
Mailing Address - Country:US
Mailing Address - Phone:917-318-9106
Mailing Address - Fax:
Practice Address - Street 1:11112 178TH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11433-4116
Practice Address - Country:US
Practice Address - Phone:917-318-9106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1155558171174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist