Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 37364 | NY |
NPI | 1124273263 |
---|---|
Provider Name | Dr. Michael E. Abrams |
First Address | Brooklyn, NY 11234-6129 |
Second Address | Brooklyn, NY 11234-6129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2008 |
Last Update Date | 17/11/2008 |