Healthcare Provider Details

I. General information

NPI: 1427170968
Provider Name (Legal Business Name): MIRI GITA ABRAMIS PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 W 89TH ST APT 1B
NEW YORK NY
10024-2037
US

IV. Provider business mailing address

30 W 89TH ST APT 1B
NEW YORK NY
10024-2037
US

V. Phone/Fax

Practice location:
  • Phone: 212-877-8419
  • Fax: 212-769-2741
Mailing address:
  • Phone: 212-877-8419
  • Fax: 212-769-2741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number010149-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License Number010149-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: