Organization
PHYSICIAN OFFICE BASED SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOJ T ABRAHAM M.D. (OWNER)
(845) 454-8025
Entity
Organization
Contact information
Practice address
82 N WATER ST, POUGHKEEPSIE, NY 12601-1721
(845) 454-8025
(845) 454-8026
Mailing address
82 N WATER ST, POUGHKEEPSIE, NY 12601-1721
(845) 454-8025
(845) 454-8026
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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