MEDICARE: MRS. GALINA ABRAMOVICH MD DO

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	207Q00000X	Family Medicine Physician	224194	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1568422574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GALINA ABRAMOVICH MD DO

Provider Business Mailing Address
First Line	:	68-60 AUSTIN STREET
Second Line	:	STORE 10
City	:	FOREST HILLS
State	:	NY
Zip	:	11375
Country	:	US
Telephone Number	:	718-997-7100
Fax Number	:	347-252-6261

Provider Business Practice Location Address
First Line	:	6860 AUSTIN STREET
Second Line	:	STORE 10
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4245
Country	:	US
Telephone Number	:	718-997-7100
Fax Number	:	347-252-6261

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	09/24/2015

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