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NPI Code Detail

MEDICARE: DR. STUART IRA ABRAHAMS DDS

MEDICARE: DR. STUART IRA ABRAHAMS DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry046045NY

General Provider Information

NPI Number : 1053439877
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STUART IRA ABRAHAMS DDS
Provider Business Mailing Address
First Line : 2149 E 34TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4902
Country : US
Telephone Number : 718-541-7435
Fax Number :
Provider Business Practice Location Address
First Line : 3711 QUEENS BLVD
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-1725
Country : US
Telephone Number : 718-361-5155
Fax Number : 718-361-5156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/08/2007

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