Provider Demographics
NPI:1649502956
Name:ABRAMOWITZ, JEFFREY (OPHTHALMIC DISPENSER)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:ABRAMOWITZ
Suffix:
Gender:M
Credentials:OPHTHALMIC DISPENSER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1577 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7101
Mailing Address - Country:US
Mailing Address - Phone:347-713-3667
Mailing Address - Fax:347-713-3667
Practice Address - Street 1:222 RIVER AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4807
Practice Address - Country:US
Practice Address - Phone:732-363-4466
Practice Address - Fax:732-363-4466
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31TD00352800156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician