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NPI Code Detail

MEDICARE: STEPHANIE DELIANA TOLLI-ABRAHAM MHC

MEDICARE: STEPHANIE DELIANA TOLLI-ABRAHAM MHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1033562350
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE DELIANA TOLLI-ABRAHAM MHC
Provider Business Mailing Address
First Line : 28 DEBEVOISE STREET
Second Line :
City : BROOKLYN
State : NY
Zip : 11206
Country : US
Telephone Number : 718-963-4430
Fax Number :
Provider Business Practice Location Address
First Line : 28 DEBEVOISE ST STE 5
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-4194
Country : US
Telephone Number : 718-963-4430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2016
Last Update Date : 07/21/2022

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