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Contact Information

RICHARD ABRAHAM, PA-C
6 TECHNOLOGY DR STE 100
EAST SETAUKET, NY11733-4079
 Phone: 631-689-6698
 Fax: 631-751-5548
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RICHARD ABRAHAM · (Male)

NPI Number 1912013046
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/22/2006
Last updated 05/17/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 006419
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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