Elizabeth T Abraham, FNP
Nurse Practitioner, Family in Port Jefferson Station, NY. Individual provider (NPI-1).
NPI number1891898003
StatusActive
Last updated in NPPESOct 26, 2026
Details
- NPI
- 1891898003
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth T Abraham
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2006
- Certification date
- Oct 26, 2026
- Last updated
- Oct 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 332588 | NY | Yes |
Practice location
8 Sullivan AvePort Jefferson Station, NY 11776
Phone 631-708-7057
Mailing address
8 Sullivan AvePort Jefferson Station, NY 11776-3440
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