Healthcare Provider Details

I. General information

NPI: 1861418998
Provider Name (Legal Business Name): MRS. JOANN ABRAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS JOANN YANNES

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 02/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 W 13TH ST FORTH FLOOR
NEW YORK NY
10014-1200
US

IV. Provider business mailing address

8701 SHORE RD APT. 334
BROOKLYN NY
11209-4204
US

V. Phone/Fax

Practice location:
  • Phone: 212-645-8111
  • Fax: 212-229-2178
Mailing address:
  • Phone: 718-510-6200
  • Fax: 718-616-3209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR136021
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code364SP0813X
TaxonomyGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
License NumberR136021
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number401235
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: