Healthcare Provider Details

I. General information

NPI: 1356046544
Provider Name (Legal Business Name): MR. DANIEL ABAI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PELHAM PKWY S
BRONX NY
10461-1138
US

IV. Provider business mailing address

210 E 64TH ST FL CENTER4
NEW YORK NY
10065-7471
US

V. Phone/Fax

Practice location:
  • Phone: 718-918-4333
  • Fax: 718-918-7686
Mailing address:
  • Phone: 212-702-7339
  • Fax: 212-434-2287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number096727
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: