MEDICARE: VADIM ABRAMOV, MD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1033777313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VADIM ABRAMOV, MD, PC

Provider Business Mailing Address
First Line	:	50 CHARLES LINDBERGH BLVD STE 103
Second Line	:
City	:	UNIONDALE
State	:	NY
Zip	:	11553-3654
Country	:	US
Telephone Number	:	516-294-4590
Fax Number	:	978-313-8551

Provider Business Practice Location Address
First Line	:	360 NEPTUNE AVE FL 6
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6847
Country	:	US
Telephone Number	:	347-817-4800
Fax Number	:	978-367-8244

Authorized Official
Title or Position	:	OWNER
Name	:	DR. VADIM ABRAMOV
Credential	:	MD
Telephone Number	:	212-731-4444

Provider Enumeration Date	:	06/03/2019
Last Update Date	:	06/03/2019

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