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Individual

LINCY ABRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(845) 323-3343
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-8509

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382245
NY
363LP0200X
Pediatric Nurse Practitioner
38382245
NY

Other

Enumeration date
12/12/2011
Last updated
12/27/2022
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