Provider Demographics
NPI:1134289135
Name:FLUG, ABRAHAM DAVID (MD ,PC)
Entity Type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:DAVID
Last Name:FLUG
Suffix:
Gender:M
Credentials:MD ,PC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10615 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4365
Mailing Address - Country:US
Mailing Address - Phone:718-520-1310
Mailing Address - Fax:718-544-0090
Practice Address - Street 1:10615 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4365
Practice Address - Country:US
Practice Address - Phone:718-520-1310
Practice Address - Fax:718-544-0090
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY124736207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00275750Medicaid
CTDS038OtherOXFORD
NYD47326Medicare UPIN
NY00275750Medicaid