| Doctor Name: | DR. MITCH ABRAMS |
| NPI Number: | 1578842076 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 14186 |
| Business Practice Address: | 720 King George Rd Ste 105 Fords, NJ - 088631974 |
| Business Phone Number: | 7327380900 |
| Business Fax Number: | 7327380815 |
| Mailing Address: | 720 King George Rd Ste 105, FORDS |
| State: | NJ |
| Postal Code: | 088631974 |
| Phone Number: | 7327380900 |
| Fax Number: | 7327380815 |
| NPI Enumeration Date: | 08/15/2011 |
| NPI Last Update Date: | 08/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 14186 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |