Provider Information for 1063992212
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
JOHN CARLOS ABREU LCSW
Sex: Male
NPI: 1063992212
Last Updated: 2022-05-02
Certification Date: 2022-05-02
Certification Date: 2022-05-02
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1063992212 | ||||||||||||||
| Enumeration Date | 2018-08-17 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 100 FISHER AVE STE 412 WHITE PLAINS, NY 10606-1919 United States Phone: 845-600-4244 | Fax: | ||||||||||||||
| Primary Practice Address | 1420 FERRIS PL BRONX, NY 10461-3611 United States Phone: 718-239-1610 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | 100 FISHER AVENUE | ||||||||||||||
| Health Information Exchange |
| ||||||||||||||
| Other Identifiers |
| ||||||||||||||
| Taxonomy |
|