Organization
Y A ANESTHESIA PAIN MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE R ABRAHAM M.D. (OWNER)
(917) 414-0617
Entity
Organization
Contact information
Practice address
3930 RICHMOND AVE, SUITE 101, STATEN ISLAND, NY 10312-5104
(917) 414-0617
(732) 847-3062
Mailing address
5 OAKWOOD CT, HOLMDEL, NJ 07733-1753
(917) 414-0617
(732) 847-3062
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
209053
NY
Other
Enumeration date
04/28/2010
Last updated
12/08/2014
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