Provider Demographics
NPI:1083833636
Name:ABRAMOV, FRIDA (PA)
Entity Type:Individual
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First Name:FRIDA
Middle Name:
Last Name:ABRAMOV
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:350 E 17TH ST
Mailing Address - Street 2:BAIRD HALL - 17TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3805
Mailing Address - Country:US
Mailing Address - Phone:212-420-4015
Mailing Address - Fax:212-420-4373
Practice Address - Street 1:10 UNION SQ E
Practice Address - Street 2:SUITE 2G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3314
Practice Address - Country:US
Practice Address - Phone:212-420-4015
Practice Address - Fax:212-420-4373
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-09-24
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Provider Licenses
StateLicense IDTaxonomies
NY009918363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant