Individual provider · NPI-1
Bessie Abraham, O.D.
Optometrist · Astoria, NY
NPI number1710084538
StatusActive
Last updated in NPPESMay 13, 2022
Details
- NPI
- 1710084538
- Entity type
- Individual (NPI-1)
- Name
- Bessie Abraham
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Certification date
- May 13, 2022
- Last updated
- May 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TUV006715 | NY | Yes |
Practice location
2520 30th AveAstoria, NY 11102-2448
Phone 171-880-8777
Mailing address
7901 BroadwayRoom A1-9
Elmhurst, NY 11373-1329
Phone 718-334-4952 · Fax 718-334-4815
Other practice locations
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