Dr. Jacqueline Abraham
Prosthodontist
45 Route 25a
Setauket
, New York 11733-2821
Dr. Jacqueline Abraham
Prosthodontist
45 Route 25a
Setauket
, New York 11733-2821
(631) 941-4435
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Jacqueline Abraham
- 45 Route 25a
- East Setauket, NY
- Zip : 11743
- Phone : (631) 941-4435
Second Address
- Dr. Jacqueline Abraham
- 45 Route 25a
- Setauket, NY
- Zip : 11733-2821
- Fax : (631) 941-4435
- Phone : (631) 941-4435
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 057233 | NY |
National Provider Identifier
| NPI | 1144589797 |
|---|---|
| Provider Name | Dr. Jacqueline Abraham |
| First Address | East Setauket, NY 11743 |
| Second Address | Setauket, NY 11733-2821 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2012 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.