MEDICARE: VADIM ABRAMOV 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
1	207R00000X	Internal Medicine Physician	275603	NY

General Provider Information

NPI Number	:	1730479320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VADIM ABRAMOV M.D.

Provider Business Mailing Address
First Line	:	60 BELL POINT DR
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6328
Country	:	US
Telephone Number	:	212-731-4444
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 CORTELYOU RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-5243
Country	:	US
Telephone Number	:	212-731-4444
Fax Number	:	718-282-0995

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

Provider Enumeration Date	:	04/15/2011
Last Update Date	:	06/10/2024

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