Healthcare Provider Details

I. General information

NPI: 1508485913
Provider Name (Legal Business Name): CONNOR ABRAMOWICZ DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2020
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 OAKLAND AVE
PORT JEFFERSON NY
11777-2130
US

IV. Provider business mailing address

26 ALLENBY DR
FORT SALONGA NY
11768-1421
US

V. Phone/Fax

Practice location:
  • Phone: 631-978-7590
  • Fax:
Mailing address:
  • Phone: 631-804-9847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number334221
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: