MEDICARE: DR. MICHAEL ABRAMOV M.D.

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	207R00000X	Internal Medicine Physician	245387	NY

General Provider Information

NPI Number	:	1588854319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ABRAMOV M.D.

Provider Business Mailing Address
First Line	:	1335 50TH ST APT 5G
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-6505
Country	:	US
Telephone Number	:	718-344-4961
Fax Number	:	718-484-0090

Provider Business Practice Location Address
First Line	:	1213 45TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2025
Country	:	US
Telephone Number	:	718-344-4961
Fax Number	:	718-484-0090

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	06/11/2026

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