Provider Demographics
NPI:1649870981
Name:ABRAHAMS, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:ABRAHAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22016 138TH AVE
Mailing Address - Street 2:
Mailing Address - City:LAURELTON
Mailing Address - State:NY
Mailing Address - Zip Code:11413-2325
Mailing Address - Country:US
Mailing Address - Phone:917-318-4635
Mailing Address - Fax:
Practice Address - Street 1:22016 138TH AVE
Practice Address - Street 2:
Practice Address - City:LAURELTON
Practice Address - State:NY
Practice Address - Zip Code:11413-2325
Practice Address - Country:US
Practice Address - Phone:917-318-4635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist