Provider Demographics
NPI:1922266220
Name:ABZUG, EVE GAIL (LCSW)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:GAIL
Last Name:ABZUG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 W 27TH ST
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6227
Mailing Address - Country:US
Mailing Address - Phone:212-691-2900
Mailing Address - Fax:212-675-2985
Practice Address - Street 1:122 W 27TH ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6227
Practice Address - Country:US
Practice Address - Phone:212-691-2900
Practice Address - Fax:212-675-2985
Is Sole Proprietor?:No
Enumeration Date:2008-05-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
NYRO5259111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)