Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 90368 | NY |
NPI | 1023006764 |
---|---|
Provider Name | Dr. Henry J Abrams |
First Address | Dix Hills, NY 11746-5728 |
Second Address | Dix Hills, NY 11746-5728 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
90368 | LICENSE (01) | NY |
C10961 | (02) | NY |