MEDICARE: TAIESHA JOSEPH-ABRAMS

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
1	101YM0800X	Mental Health Counselor	LC17313	MD
2	101YM0800X	Mental Health Counselor	015925	NY

General Provider Information

NPI Number	:	1457710501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAIESHA JOSEPH-ABRAMS

Provider Business Mailing Address
First Line	:	875 BOYNTON AVE
Second Line	:	APT 1E
City	:	BRONX
State	:	NY
Zip	:	10473-4750
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	875 BOYNTON AVE APT 1E
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10473-4755
Country	:	US
Telephone Number	:	646-508-2868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2016
Last Update Date	:	12/05/2025

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Directions to “ TAIESHA JOSEPH-ABRAMS ” Practice Location

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