Individual
ALFRED E ABRAHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13124 ROCKWAY BLVD, SOUTH OZONE PARK, NY 11420
(718) 659-7166
(718) 529-5930
Mailing address
13124 ROCKWAY BLVD, SOUTH OZONE PARK, NY 11420
(718) 659-7166
(718) 529-5930
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
231106
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02521786
—
NY
01
—
7763N
BLUE CROSS
NY
01
—
P3519306
OXFORD
NY
Enumeration date
04/18/2006
Last updated
07/08/2007
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