Individual
ANNA ELIZABETH ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
439 W MAPLE AVE, NEWARK, NY 14513-2062
(315) 332-3310
Mailing address
80 ONTARIO ST, PHELPS, NY 14532-9765
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
029070
NY
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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