Healthcare Provider Details

I. General information

NPI: 1114052602
Provider Name (Legal Business Name): ALLA ABRAMSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 NEPTUNE AVE RM 200
BROOKLYN NY
11224-4008
US

IV. Provider business mailing address

532 NEPTUNE AVE RM 200
BROOKLYN NY
11224-4008
US

V. Phone/Fax

Practice location:
  • Phone: 718-946-2600
  • Fax: 718-946-0226
Mailing address:
  • Phone: 718-946-2600
  • Fax: 718-946-0226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number194190
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: