Provider Demographics
NPI:1982714770
Name:ABRONS, PETER ERIC (PHD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:ERIC
Last Name:ABRONS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 WEST 58TH ST
Mailing Address - Street 2:#504
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-582-2810
Mailing Address - Fax:212-582-7450
Practice Address - Street 1:330 WEST 58TH ST
Practice Address - Street 2:#504
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-582-2810
Practice Address - Fax:212-582-7450
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8348103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV49111Medicare ID - Type Unspecified