Provider Demographics
NPI:1831103324
Name:ABRAMS, STEPHEN J (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:560 WHITE PLAINS ROAD
Mailing Address - Street 2:SUITE 500 - ENTA
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5112
Mailing Address - Country:US
Mailing Address - Phone:914-984-2534
Mailing Address - Fax:914-241-1176
Practice Address - Street 1:1211 HAMBURG TPKE
Practice Address - Street 2:SUITE 205
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470
Practice Address - Country:US
Practice Address - Phone:973-633-0808
Practice Address - Fax:973-633-8811
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2018-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03423400207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2049708Medicaid
NJ2049708Medicaid
NJ137412NEWMedicare PIN