Individual
MR. ABRAHAM MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
450 SEAVIEW AVE, STATEN ISLAND, NY 10305-3401
(718) 226-6576
Mailing address
439 BOULDER DR, MORGANVILLE, NJ 07751-4270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R052393-1
NY
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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