Provider Demographics
NPI:1679358170
Name:ABOLAFIA, REMI
Entity type:Individual
Prefix:
First Name:REMI
Middle Name:
Last Name:ABOLAFIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:996 E PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1450
Mailing Address - Country:US
Mailing Address - Phone:929-600-0989
Mailing Address - Fax:
Practice Address - Street 1:996 E PROSPECT ST
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1450
Practice Address - Country:US
Practice Address - Phone:929-600-0989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-31
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC063369001041C0700X
NY0968741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical