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NPI Code Detail

MEDICARE: DR. MARC TODD ABRAMS PH.D.

MEDICARE: DR. MARC TODD ABRAMS PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist010443-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010443-1OTHERNYNYS LICENSED PSYCHOLOGIST

General Provider Information

NPI Number : 1346270584
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARC TODD ABRAMS PH.D.
Provider Business Mailing Address
First Line : 91 SMITH AVE
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-2810
Country : US
Telephone Number : 914-666-2735
Fax Number : 914-244-3159
Provider Business Practice Location Address
First Line : 91 SMITH AVE
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-2810
Country : US
Telephone Number : 914-666-2735
Fax Number : 914-244-3159
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 07/08/2007

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