Individual provider · NPI-1

Dr. Michael Abramov, M.D.

Radiology, Diagnostic Radiology · Stony Brook, NY

NPI number1770744286
StatusActive
Last updated in NPPESApr 27, 2022

Details

NPI
1770744286
Entity type
Individual (NPI-1)
Name
Dr. Michael Abramov
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 18, 2008
Certification date
Apr 27, 2022
Last updated
Apr 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology277402NYYes

Practice location

3 Edmund D Pellegrino Rd
Stony Brook, NY 11794-8206

Phone 718-594-7809

Mailing address

19326 Mclaughlin Ave
Hollis, NY 11423-1148

Phone 888-869-7846 · Fax 888-869-7846

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