Provider Demographics
NPI:1033777313
Name:VADIM ABRAMOV, MD, PC
Entity Type:Organization
Organization Name:VADIM ABRAMOV, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VADIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-731-4444
Mailing Address - Street 1:50 CHARLES LINDBERGH BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-3654
Mailing Address - Country:US
Mailing Address - Phone:516-294-4590
Mailing Address - Fax:978-313-8551
Practice Address - Street 1:360 NEPTUNE AVE FL 6
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6847
Practice Address - Country:US
Practice Address - Phone:347-817-4800
Practice Address - Fax:978-367-8244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty