Individual
AKIVA D ABRAHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 ROUTE 146, SUITE 100, CLIFTON PARK, NY 12065-3667
(518) 373-1165
(518) 348-1849
Mailing address
316 MILLER RD, REXFORD, NY 12148-1500
(518) 688-2081
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
206885-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01768758
—
NY
Enumeration date
07/12/2005
Last updated
07/08/2007
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