Individual
DR. ABRAHAM ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
100 CENTRAL AVE, APT 4B, FORT LEE, NJ 07024-7326
(646) 220-5962
Mailing address
100 CENTRAL AVE, APT 4B, FORT LEE, NJ 07024-7326
(646) 220-5962
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
017604-1
NY
Other
Enumeration date
07/09/2010
Last updated
09/27/2011
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