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NPI Code Detail

MEDICARE: LISA MARIA ABRAHAM OTR/L

MEDICARE: LISA MARIA ABRAHAM OTR/L
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
1225X00000XOccupational Therapist024256NY

General Provider Information

NPI Number : 1730727249
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MARIA ABRAHAM OTR/L
Provider Business Mailing Address
First Line : 150 W END AVE APT 1M
Second Line :
City : NEW YORK
State : NY
Zip : 10023-5715
Country : US
Telephone Number : 212-600-4781
Fax Number : 800-655-3780
Provider Business Practice Location Address
First Line : 150 W END AVE APT 1M
Second Line :
City : NEW YORK
State : NY
Zip : 10023-5715
Country : US
Telephone Number : 212-600-4781
Fax Number : 800-655-3780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2019
Last Update Date : 12/16/2019

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