Provider Demographics
NPI:1437187374
Name:SHULMAN, ABRAHAM (MD)
Entity Type:Individual
Prefix:PROF
First Name:ABRAHAM
Middle Name:
Last Name:SHULMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 08 210 ST.
Mailing Address - Street 2:
Mailing Address - City:JAMICA
Mailing Address - State:NY
Mailing Address - Zip Code:11427-1312
Mailing Address - Country:US
Mailing Address - Phone:718-773-8888
Mailing Address - Fax:718-465-3669
Practice Address - Street 1:118 35 QUEENS BLVD.
Practice Address - Street 2:SUITE 1430
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7200
Practice Address - Country:US
Practice Address - Phone:718-773-8888
Practice Address - Fax:718-465-3669
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081566-1207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
09407-GMedicare UPIN