Individual
MS. CANDACY ABRAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TEACHER
Contact information
Practice address
11112 178TH ST, JAMAICA, NY 11433-4116
(917) 318-9106
Mailing address
11112 178TH ST, JAMAICA, NY 11433-4116
(917) 318-9106
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1155558171
NY
Other
Enumeration date
09/07/2017
Last updated
07/07/2023
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