Healthcare Provider Details

I. General information

NPI: 1659059228
Provider Name (Legal Business Name): ABIGAL BARIMA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 E 33RD ST FL 5
NEW YORK NY
10016-5337
US

IV. Provider business mailing address

30 E 33RD ST FL 5
NEW YORK NY
10016-5337
US

V. Phone/Fax

Practice location:
  • Phone: 212-366-4459
  • Fax:
Mailing address:
  • Phone: 212-366-4459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number408723
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number351813
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: