Healthcare Provider Details
I. General information
NPI: 1912720947
Provider Name (Legal Business Name): ABEK ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/07/2024
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4867 BROADWAY # 1025
NEW YORK NY
10034-3134
US
IV. Provider business mailing address
4867 BROADWAY # 1025
NEW YORK NY
10034-3134
US
V. Phone/Fax
- Phone: 347-674-3638
- Fax:
- Phone: 347-674-3638
- Fax: 772-829-8806
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 302R00000X |
| Taxonomy | Health Maintenance Organization |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MAKEBA
LLOYD
Title or Position: CEO/OWNER
Credential: AROMATHERAPIST
Phone: 347-674-3638