Healthcare Provider Details

I. General information

NPI: 1548395460
Provider Name (Legal Business Name): VICTOR Y ABRAMSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2007
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: 718-265-0430
Mailing address:
  • Phone: 718-946-2600
  • Fax: 718-265-0430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number207166
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: