NPI 1962900423 · live from the CMS NPI Registry
Sosamma Abraham
Registered Nurse, Psych/Mental Health, Adult in Queens Village, NY. National Provider Identifier 1962900423, active.
NPI record
| NPI | 1962900423 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 79-25 Winchester Blvd, Queens Village, NY 11427 |
| Practice phone | 718-264-5700 |
| Mailing address | 7925 Winchester Blvd, Queens Village, NY 11427 |
| Enumerated | January 30, 2018 |
| Last updated | January 30, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | 599337 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.