Provider Demographics
NPI:1962506287
Name:ABRAMSON, SANFORD A (PA)
Entity Type:Individual
Prefix:
First Name:SANFORD
Middle Name:A
Last Name:ABRAMSON
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40 STONER AVE
Mailing Address - Street 2:APT. 2Y
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-2118
Mailing Address - Country:US
Mailing Address - Phone:718-405-8465
Mailing Address - Fax:718-824-0830
Practice Address - Street 1:MMC - DEPT. OF NUCLEAR MED.
Practice Address - Street 2:1695 EASTCHESTER ROAD
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-405-8465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006183363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant