Individual
DR. MANOJ TIMOTHY ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
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
207Y00000X
Otolaryngology Physician
211519
NY
207YS0123X
Facial Plastic Surgery Physician
Primary
211519
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02405489
—
NY
Enumeration date
08/30/2006
Last updated
07/08/2013
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