Healthcare Provider Details

I. General information

NPI: 1770366379
Provider Name (Legal Business Name): ABLEVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2023
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W 125TH ST FRNT 11147
NEW YORK NY
10027-4444
US

IV. Provider business mailing address

105 W 125TH ST FRNT 11147
NEW YORK NY
10027-4444
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 Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

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