Individual
TONY ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1500 ROUTE 112 BLDG 2, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 509-6559
Mailing address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(315) 096-5596
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
243051
NY
Other
Enumeration date
05/21/2007
Last updated
01/30/2020
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