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NPI Code Detail

MEDICARE: DR. ABRAHAM DEMOZ M.D.

MEDICARE: DR. ABRAHAM DEMOZ M.D.
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
1207R00000XInternal Medicine Physician215203NY
2207P00000XEmergency Medicine Physician215203NY

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 : 1326110016
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABRAHAM DEMOZ M.D.
Provider Business Mailing Address
First Line : 9408 FLATLANDS AVE
Second Line : 1ST FLOOR
City : BROOKLYN
State : NY
Zip : 11236
Country : US
Telephone Number : 718-272-0977
Fax Number : 718-272-1088
Provider Business Practice Location Address
First Line : 592 ROCKAWAY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-5539
Country : US
Telephone Number : 718-345-6366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 05/08/2024

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