| Doctor Name: | SUZANNE S ABRAHAM |
| NPI Number: | 1710058102 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, CCC-SLP |
| License Number: | 006416 |
| Business Practice Address: | 120 Mineola Blvd Suite 210 Mineola, NY - 115014064 |
| Business Phone Number: | 5166634600 |
| Business Fax Number: | 5166638297 |
| Mailing Address: | 222 Station Plz N, Suite 611 MINEOLA |
| State: | NY |
| Postal Code: | 115013800 |
| Phone Number: | 5166632532 |
| Fax Number: | 5166632233 |
| NPI Enumeration Date: | 11/10/2006 |
| NPI Last Update Date: | 10/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 006416 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |