Individual
ABRAHAM PORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
990 STEWART AVE, SUITE 100, GARDEN CITY, NY 11530-4822
(516) 222-4294
(516) 222-4880
Mailing address
990 STEWART AVE, SUITE 100, GARDEN CITY, NY 11530-4822
(516) 222-4294
(516) 222-4880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
151163
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00930218
—
NY
Enumeration date
01/26/2006
Last updated
01/19/2016
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