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Individual

ELIAS ABRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
82 PINE ST, DEER PARK, NY 11729-3012
(631) 599-2523
Mailing address
82 PINE ST, DEER PARK, NY 11729-3012
(631) 599-2523

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
006754-1
NY

Other

Enumeration date
06/04/2022
Last updated
06/04/2022
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