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Contact Information

ANCY A ABRAHAM, PhD
7000 EAST GENESEE STREET
BUILDING A, UPPER LEVEL
FAYETTEVILLE, NY13066
 Phone: 315-399-0036
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANCY A ABRAHAM · (Female)

NPI # 1790973659
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/04/2007
Last updated 07/26/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 018010
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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