NPI Code Details Logo

NPI 1174881551

NPI 1174881551 : IRINA ABRAMOVA D.O : NEW HYDE PARK, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1174881551
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    IRINA ABRAMOVA D.O
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/24/2012
-----------------------------------------------------
    Last Update Date     |    12/02/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2001 MARCUS AVE STE N218 
-----------------------------------------------------
    City                 |    NEW HYDE PARK
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11042-1011
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    516-960-2385
-----------------------------------------------------
    Fax                  |    516-960-1481
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2001 MARCUS AVE STE N218 
-----------------------------------------------------
    City                 |    NEW HYDE PARK
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11042-1011
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    516-960-2385
-----------------------------------------------------
    Fax                  |    516-690-1481
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RR0500X
-----------------------------------------------------
    Taxonomy Name        |    Rheumatology Physician
-----------------------------------------------------
    License Number       |    279081
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.