Healthcare Provider Details

I. General information

NPI: 1730117342
Provider Name (Legal Business Name): ROBERT ABRAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 11/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 W 13TH ST #16-G
NEW YORK NY
10011-7855
US

IV. Provider business mailing address

525 E 68TH ST BOX 140
NEW YORK NY
10065-4870
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-3736
  • Fax:
Mailing address:
  • Phone: 212-746-3736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number131306
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: