MEDICARE: DR. DEBORAH LYNN ELKIS-ABUHOFF PH.D., ATR-BC, LCAT

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
1	103T00000X	Psychologist	015619	NY

General Provider Information

NPI Number	:	1598963480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH LYNN ELKIS-ABUHOFF PH.D., ATR-BC, LCAT

Provider Business Mailing Address
First Line	:	5 HUTCH CT
Second Line	:
City	:	DIX HILLS
State	:	NY
Zip	:	11746-5006
Country	:	US
Telephone Number	:	631-921-5702
Fax Number	:	631-499-1750

Provider Business Practice Location Address
First Line	:	5 HUTCH CT
Second Line	:
City	:	DIX HILLS
State	:	NY
Zip	:	11746-5006
Country	:	US
Telephone Number	:	631-921-5702
Fax Number	:	631-499-1750

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	07/08/2007

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