Provider Demographics
NPI:1679092399
Name:ABOWITZ, CHAIM S
Entity type:Individual
Prefix:
First Name:CHAIM
Middle Name:S
Last Name:ABOWITZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3931 NEW UTRECHT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-1054
Mailing Address - Country:US
Mailing Address - Phone:347-524-2301
Mailing Address - Fax:
Practice Address - Street 1:1569 47TH ST RM 200A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2758
Practice Address - Country:US
Practice Address - Phone:718-435-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool