Provider Demographics
NPI:1205645041
Name:ABRAMOV NP IN FAMILY HEALTH, P.C.
Entity type:Organization
Organization Name:ABRAMOV NP IN FAMILY HEALTH, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMOV
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:347-342-8822
Mailing Address - Street 1:608 MAYFAIR DR S
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6413
Mailing Address - Country:US
Mailing Address - Phone:347-342-8822
Mailing Address - Fax:929-295-4464
Practice Address - Street 1:4019 AVENUE T
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5029
Practice Address - Country:US
Practice Address - Phone:347-342-8822
Practice Address - Fax:929-295-4464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty