Individual
YVETTE R ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3930 RICHMOND AVE, SUITE101, STATEN ISLAND, NY 10312-5104
(718) 296-6131
(732) 847-3062
Mailing address
5 OAKWOOD CT, HOLMDEL, NJ 07733-1753
(917) 414-0617
(732) 847-3062
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
209053
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
209053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01817770
—
NY
Enumeration date
06/15/2006
Last updated
11/24/2014
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