Provider Demographics
NPI:1669646428
Name:BORENSTEIN, ABRAHAM G (DDS)
Entity Type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:G
Last Name:BORENSTEIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27234 GRAND CENTRAL PKWY
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11005-1342
Mailing Address - Country:US
Mailing Address - Phone:718-225-0500
Mailing Address - Fax:718-225-0989
Practice Address - Street 1:27234 GRAND CENTRAL PKWY
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11005-1342
Practice Address - Country:US
Practice Address - Phone:718-225-0500
Practice Address - Fax:718-225-0989
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043095122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY043095OtherLICENSE