Provider Demographics
NPI:1477915163
Name:RICHARD D. ABRASH MD PC
Entity Type:Organization
Organization Name:RICHARD D. ABRASH MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRASH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-364-3100
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142289261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB12136Medicare UPIN