Individual
AMANDA KARESS ABREU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 SUMNER PL, BROOKLYN, NY 11206-4110
(718) 336-9500
Mailing address
16 SUMNER PL, BROOKLYN, NY 11206-4110
(718) 336-9500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12345
—
NY
05
—
352249024
—
NY
Enumeration date
09/13/2022
Last updated
09/13/2022
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