Provider Demographics
NPI:1699007088
Name:DEAR, ABRAHAM Z
Entity Type:Individual
Prefix:MR
First Name:ABRAHAM
Middle Name:Z
Last Name:DEAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 AVENUE P
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2002
Mailing Address - Country:US
Mailing Address - Phone:718-998-8000
Mailing Address - Fax:718-375-1282
Practice Address - Street 1:490 AVENUE P
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2002
Practice Address - Country:US
Practice Address - Phone:718-998-8000
Practice Address - Fax:718-375-1282
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035357183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist