Provider Demographics
NPI:1891191581
Name:KADER, ABDUL
Entity type:Individual
Prefix:
First Name:ABDUL
Middle Name:
Last Name:KADER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ABDUL
Other - Middle Name:
Other - Last Name:KADER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMHC
Mailing Address - Street 1:755 WAVERLY AVE
Mailing Address - Street 2:STE 304
Mailing Address - City:HOLTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11742-1190
Mailing Address - Country:US
Mailing Address - Phone:631-588-2627
Mailing Address - Fax:
Practice Address - Street 1:14 SCOPELITIS CT
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-2000
Practice Address - Country:US
Practice Address - Phone:631-588-2627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006307101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health