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NPI Code Detail

MEDICARE: MRS. MINOS A ABRAHAM

MEDICARE: MRS. MINOS A ABRAHAM
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
1363LF0000XFamily Nurse PractitionerF337927-1NY

General Provider Information

NPI Number : 1639581259
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MINOS A ABRAHAM
Provider Business Mailing Address
First Line : 62 JASPER ST
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-6304
Country : US
Telephone Number : 718-982-7887
Fax Number :
Provider Business Practice Location Address
First Line : 5151 N 9TH AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32504-8721
Country : US
Telephone Number : 972-449-0540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2014
Last Update Date : 03/12/2026

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Directions to “ MRS. MINOS A ABRAHAM ” Practice Location

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