Provider Demographics
NPI:1548462229
Name:MELTZER, ABRAHAM L (PHD, NP)
Entity type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:L
Last Name:MELTZER
Suffix:
Gender:M
Credentials:PHD, NP
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Mailing Address - Street 1:26 COURT ST
Mailing Address - Street 2:SUITE 2312
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11242-0103
Mailing Address - Country:US
Mailing Address - Phone:718-237-2333
Mailing Address - Fax:718-237-8813
Practice Address - Street 1:26 COURT STREET
Practice Address - Street 2:SUITE 2312
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11242
Practice Address - Country:US
Practice Address - Phone:718-237-2333
Practice Address - Fax:718-237-8813
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2014-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00051600363LP0808X
NYF400785-1363LP0808X
NJ35S100307400103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist