Provider Demographics
NPI:1215138367
Name:ABELIN, GRACIELA ESTHER (MD)
Entity type:Individual
Prefix:DR
First Name:GRACIELA
Middle Name:ESTHER
Last Name:ABELIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CENTRAL PARK W
Mailing Address - Street 2:APT. 2G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-1513
Mailing Address - Country:US
Mailing Address - Phone:212-760-1843
Mailing Address - Fax:212-787-5138
Practice Address - Street 1:300 CENTRAL PARK W
Practice Address - Street 2:APT. 2G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1513
Practice Address - Country:US
Practice Address - Phone:212-760-1843
Practice Address - Fax:212-787-5138
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102297103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)