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NPI Code Detail

MEDICARE: DR. J. DAVID ABRAHAM MD

MEDICARE: DR. J. DAVID ABRAHAM MD
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
1207X00000XOrthopaedic Surgery Physician143487NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285601005
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. J. DAVID ABRAHAM MD
Provider Business Mailing Address
First Line : 121 EVERETT RD
Second Line :
City : ALBANY
State : NY
Zip : 12205-1474
Country : US
Telephone Number : 518-489-2663
Fax Number : 518-689-3881
Provider Business Practice Location Address
First Line : 121 EVERETT RD
Second Line :
City : ALBANY
State : NY
Zip : 12205-1474
Country : US
Telephone Number : 518-489-2663
Fax Number : 518-689-3881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 05/28/2025

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