Provider Demographics
NPI:1023198678
Name:MERAV, AVRAHAM D (MD)
Entity Type:Individual
Prefix:
First Name:AVRAHAM
Middle Name:D
Last Name:MERAV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:701 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-1020
Mailing Address - Country:US
Mailing Address - Phone:914-366-2333
Mailing Address - Fax:914-366-1332
Practice Address - Street 1:701 NORTH BROADWAY
Practice Address - Street 2:PHELPS THORACIC CENTER
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1020
Practice Address - Country:US
Practice Address - Phone:914-366-2333
Practice Address - Fax:914-366-1332
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY123405208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA000008908Medicare PIN