Provider Demographics
NPI:1689749491
Name:ABRAHAMS, HAL ANDREW (DPM)
Entity Type:Individual
Prefix:DR
First Name:HAL
Middle Name:ANDREW
Last Name:ABRAHAMS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 DOBBS FERRY ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10607
Mailing Address - Country:US
Mailing Address - Phone:914-993-0477
Mailing Address - Fax:
Practice Address - Street 1:280 DOBBS FERRY ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607
Practice Address - Country:US
Practice Address - Phone:914-993-0477
Practice Address - Fax:914-993-9031
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0043331213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01092628Medicaid
T51434Medicare UPIN
NYPH9272Medicare PIN
NY01092628Medicaid
NYPH9271Medicare PIN