Healthcare Provider Details

I. General information

NPI: 1023790359
Provider Name (Legal Business Name): ABLEVER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2023
Last Update Date: 06/01/2025
Certification Date: 06/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W125TH STREET FRNT 1. #1147
NEW YORK NY
10027
US

IV. Provider business mailing address

105 W125TH STREET FRNT 1. #1147
NEW YORK NY
10027
US

V. Phone/Fax

Practice location:
  • Phone: 347-883-3265
  • Fax:
Mailing address:
  • Phone: 347-883-3265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: RAIYSA MUHAMMAD
Title or Position: PEER SPECIALIST
Credential:
Phone: 347-883-3265