Individual
DR. ANCY A. ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7000 EAST GENESEE STREET, BUILDING A, UPPER LEVEL, FAYETTEVILLE, NY 13066
(315) 399-0036
Mailing address
7000 E GENESEE ST, BUILDING A, FAYETTEVILLE, NY 13066-1131
(315) 399-0036
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018010
NY
Other
Enumeration date
10/04/2007
Last updated
07/26/2010
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