Healthcare Provider Details

I. General information

NPI: 1295672772
Provider Name (Legal Business Name): ABRAHAM SISKIND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 BEAVER ST STE 301
ALBANY NY
12207-1504
US

IV. Provider business mailing address

2001 5TH AVE APT 503
TROY NY
12180-3387
US

V. Phone/Fax

Practice location:
  • Phone: 518-245-6272
  • Fax:
Mailing address:
  • Phone: 845-248-3586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18-P135521-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: