Provider Demographics
NPI:1619115524
Name:ABRAMOWITZ, MATTHEW K (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:K
Last Name:ABRAMOWITZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1300 MORRIS PARK AVE
Mailing Address - Street 2:ULLMANN BLDG., ROOM 615
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1900
Mailing Address - Country:US
Mailing Address - Phone:718-430-3158
Mailing Address - Fax:718-430-8963
Practice Address - Street 1:1300 MORRIS PARK AVE
Practice Address - Street 2:ULLMANN BLDG., ROOM 615
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1900
Practice Address - Country:US
Practice Address - Phone:718-430-3158
Practice Address - Fax:718-430-8963
Is Sole Proprietor?:No
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY235693207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY235693OtherLICENSE