Provider Demographics
NPI:1922439702
Name:ABRAHAM, ASHA (FNP)
Entity Type:Individual
Prefix:
First Name:ASHA
Middle Name:
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5102
Mailing Address - Country:US
Mailing Address - Phone:800-403-1250
Mailing Address - Fax:800-403-1250
Practice Address - Street 1:520 WHITE PLAINS RD
Practice Address - Street 2:SUITE 500
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5102
Practice Address - Country:US
Practice Address - Phone:800-403-1250
Practice Address - Fax:800-403-1250
Is Sole Proprietor?:No
Enumeration Date:2013-12-04
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF338349-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily