Provider Demographics
NPI:1174728463
Name:SPRUNG, ABRAH (PHD)
Entity type:Individual
Prefix:DR
First Name:ABRAH
Middle Name:
Last Name:SPRUNG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ABRAH
Other - Middle Name:
Other - Last Name:BESSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:420 E 61ST ST APT 26E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8776
Mailing Address - Country:US
Mailing Address - Phone:917-881-9156
Mailing Address - Fax:
Practice Address - Street 1:420 E 61ST ST APT 26E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8776
Practice Address - Country:US
Practice Address - Phone:212-931-1220
Practice Address - Fax:888-413-4173
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPPY943103TC0700X
NJSI3500386200103TC0700X
NY014173103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical