Individual
GREGORY ABRAMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5223 9TH AVE, BROOKLYN, NY 11220-2913
(718) 431-2959
(718) 431-2974
Mailing address
2442 E 65TH ST, BROOKLYN, NY 11234-6718
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
349091
NY
363LF0000X
Family Nurse Practitioner
Primary
349091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349091
STATE LICENSE
NY
Enumeration date
01/18/2022
Last updated
01/18/2022
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