Provider Demographics
NPI:1568914679
Name:ABRAMOV, IGOR (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:IGOR
Middle Name:
Last Name:ABRAMOV
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7505 AVENUE X
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6637
Mailing Address - Country:US
Mailing Address - Phone:347-207-8919
Mailing Address - Fax:
Practice Address - Street 1:10119 ROCKAWAY BEACH BLVD
Practice Address - Street 2:
Practice Address - City:ROCKAWAY PARK
Practice Address - State:NY
Practice Address - Zip Code:11694-2841
Practice Address - Country:US
Practice Address - Phone:718-233-8787
Practice Address - Fax:718-233-8788
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2024-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062482183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist