Provider Demographics
NPI:1861418998
Name:ABRAMS, JOANN
Entity type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:JOANN
Other - Middle Name:
Other - Last Name:YANNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8701 SHORE RD
Mailing Address - Street 2:APT. 334
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-4204
Mailing Address - Country:US
Mailing Address - Phone:718-510-6200
Mailing Address - Fax:718-616-3209
Practice Address - Street 1:320 W 13TH ST
Practice Address - Street 2:FORTH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-1200
Practice Address - Country:US
Practice Address - Phone:212-645-8111
Practice Address - Fax:212-229-2178
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR136021363LP0808X, 364SP0813X
NY401235363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0813XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Geropsychiatric