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General NPI Number Information
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NPI Number | 1477915163
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Entity Type | Organization
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Legal Business Name | RICHARD D. ABRASH MD PC
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 800 WOODBURY RD SUITE I
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City | WOODBURY
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State | NY
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Zip | 11797-2503
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Country | US
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Telephone | 516-364-3100
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Fax | 516-364-3154
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Provider Business Mailing Address
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Address Line | 800 WOODBURY RD SUITE I
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City | WOODBURY
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State | NY
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Zip | 11797-2503
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Country | US
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Telephone | 516-364-3100
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Fax | 516-364-3154
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD ABRASH
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Credential | MD
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Telephone | 516-364-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 142289
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License Number State | NY
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