Individual
LILLY KEERIKKATTIL ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(516) 661-3042
Mailing address
8039 269TH ST, NEW HYDE PARK, NY 11040-1523
(516) 661-3042
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
807260
NY
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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