Provider Demographics
NPI:1417743501
Name:ABRAMOVE, DANIELA YAKOBASHVILI (MD)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:YAKOBASHVILI
Last Name:ABRAMOVE
Suffix:
Gender:X
Credentials:MD
Other - Prefix:
Other - First Name:DANIELA
Other - Middle Name:NORA
Other - Last Name:YAKOBASHVILI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:94 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5665
Mailing Address - Country:US
Mailing Address - Phone:718-619-2681
Mailing Address - Fax:
Practice Address - Street 1:150 BERGEN ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2496
Practice Address - Country:US
Practice Address - Phone:973-972-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program