Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TONY ABRAHAM, D.O.
ActiveTONY ABRAHAM, D.O. is a 2085N0904X healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1912115023 is currently active in the NPPES registry. Verify at CMS.
2085N0904X · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1912115023
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2007 (19.203679968731 yrs)
- Last Updated
- Jan 30, 2020
- License
-
243051 (NY)
Practice Information
- Address
-
1500 ROUTE 112 BLDG 2PORT JEFFERSON STATION, NY, 117768055Browse NY providers · Browse ZIP 11776
- Phone
- 6317513000
- Fax
- 6315096559
- Primary Specialty
-
2085N0904X
2085N0904X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.