Provider Demographics
NPI:1225087703
Name:ABRASH, RICHARD DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DAVID
Last Name:ABRASH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:800 WOODBURY RD
Mailing Address - Street 2:SUITE I
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2503
Mailing Address - Country:US
Mailing Address - Phone:516-364-3100
Mailing Address - Fax:516-364-3154
Practice Address - Street 1:800 WOODBURY RD
Practice Address - Street 2:SUITE I
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-2503
Practice Address - Country:US
Practice Address - Phone:516-364-3100
Practice Address - Fax:516-364-3154
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2010-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY142289207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB12136Medicare UPIN
NY1225087703Medicare NSC