Healthcare Provider Details

I. General information

NPI: 1356873947
Provider Name (Legal Business Name): STANLEY ABRAHAM D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2017
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2649 STRANG BLVD STE 206
YORKTOWN HEIGHTS NY
10598-2938
US

IV. Provider business mailing address

2649 STRANG BLVD STE 206
YORKTOWN HEIGHTS NY
10598-2938
US

V. Phone/Fax

Practice location:
  • Phone: 914-233-3008
  • Fax: 914-233-3011
Mailing address:
  • Phone: 914-233-3008
  • Fax: 914-233-3011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number305392
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number305392
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number305392
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number305392
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: