Basic Information
| Provider Information | |||||||||
| NPI: | 1275185225 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ABREU | ||||||||
| FirstName: | SAHIRA | ||||||||
| MiddleName: | L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13 BARBARA FLESHMAN CT | ||||||||
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| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197021135 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3400 CANNON PL | ||||||||
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| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104634302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187968100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2019 | ||||||||
| LastUpdateDate: | 07/10/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | J2-0001168 | DE | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.