Individual provider · NPI-1

Akil Abraham, PA-C

Physician Assistant · Mineola, NY

NPI number1245839646
StatusActive
Last updated in NPPESAug 8, 2022

Details

NPI
1245839646
Entity type
Individual (NPI-1)
Name
Akil Abraham
Credential
PA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 19, 2020
Certification date
Aug 8, 2022
Last updated
Aug 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

259 1st St
Mineola, NY 11501-3957

Phone 516-663-4400

Mailing address

221 Benson Ave
Elmont, NY 11003-2308

Phone 516-754-0036

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