MEDICARE: ETHAN ABRISHAMIAN

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1477258051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ETHAN ABRISHAMIAN

Provider Business Mailing Address
First Line	:	61 PEBBLE LN
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2711
Country	:	US
Telephone Number	:	516-509-3365
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 PEBBLE LN
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2711
Country	:	US
Telephone Number	:	516-509-3365
Fax Number	:

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

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	04/03/2023

Similar Medicare Providers

1811304322 — NATALIE ABRISHAMIAN
Practice Location Address:

61 PEBBLE LN
ROSLYN HEIGHTS, NY
11577-2711

Practice Phone: 516-314-2822
Practice Fax: 516-314-2822

1497740153 — DR. FREDERICK LERNER D.M.D.
Practice Location Address:

35 GEORGIAN CT
EAST HILLS (ROSLYN), NY
11576-2711

Practice Phone: 516-330-0158
Practice Fax: 516-627-0643

1851696835 — GEORGETTE HEMMINGS-GLANVILLE
Practice Location Address:

2987 QUINLAN ST
YORKTOWN HEIGHTS, NY
10598-2711

Practice Phone: 914-245-9611
Practice Fax:

1952608507 — NATELEGE A WILSON LPN
Practice Location Address:

2987 QUINLAN ST
YORKTOWN HEIGHTS, NY
10598-2711

Practice Phone: 914-471-6864
Practice Fax:

1376921536 — MRS. KIM H JORDAN
Practice Location Address:

1305 CANTERBURY LN
COLONIAL HEIGHTS, VA
23834-2711

Practice Phone: 804-855-9503
Practice Fax:

1255851838 — DR. CATHERINE DESIREE SALES
Practice Location Address:

2945 QUINLAN ST
YORKTOWN HEIGHTS, NY
10598-2711

Practice Phone: 914-486-1881
Practice Fax:

Directions to “ ETHAN ABRISHAMIAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.