Individual
DR. ABRAHAM EVIATAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1578 WILLIAMSBRIDGE RD., BRONX, NY 10461
(718) 822-1103
(718) 597-1799
Mailing address
1578 WILLIAMSBRIDGE RD., BRONX, NY 10461
(718) 822-1103
(718) 597-1799
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
103442
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00179520
—
NY
01
—
103442
HIP
—
01
—
GS210
OXFORD
—
Enumeration date
12/01/2006
Last updated
07/31/2008
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