MEDICARE: ABRAHAM CHAIM M.S.

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
1	235Z00000X	Speech-Language Pathologist		NY

General Provider Information

NPI Number	:	1285945907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABRAHAM CHAIM M.S.

Provider Business Mailing Address
First Line	:	847 BEDFORD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-2801
Country	:	US
Telephone Number	:	718-522-5559
Fax Number	:

Provider Business Practice Location Address
First Line	:	847 BEDFORD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-2801
Country	:	US
Telephone Number	:	718-522-5559
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2010
Last Update Date	:	06/28/2010

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Directions to “ ABRAHAM CHAIM M.S.” Practice Location

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