Individual
JOSHIAH ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 E SUNRISE HWY STE 500, VALLEY STREAM, NY 11581-1233
(929) 202-5601
Mailing address
10709 172ND ST, JAMAICA, NY 11433-2533
(346) 257-2166
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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