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Individual

ALEX ABRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1 MARION CT, POMONA, NY 10970-2634
(845) 729-4423
Mailing address
1 MARION CT, POMONA, NY 10970-2634
(845) 729-4423

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
530437
NY
363LF0000X
Family Nurse Practitioner
Primary
346701
NY

Other

Enumeration date
05/20/2020
Last updated
10/14/2020
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