Princy Rose Abraham, N.P., R.N.

Individual provider Active NPI Neonatal Nurse Practitioner · Levittown, NY

NPI 1386958783 · NPPES record last updated Dec 27, 2016

Key facts

NPI
1386958783
Entity type
Individual (NPI type 1)
Primary specialty
Neonatal Nurse Practitioner 363LN0000X
License
F350402 (NY)
Practice address
107 Shelter LN
Levittown, NY 11756-1218
Phone
(646) 644-0429
NPI assigned
Jul 28, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
613527NYMDRegistered Nurse
F350402NYMDNeonatal Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 613527 NY
Neonatal Nurse Practitioner 363LN0000X F350402 NY Yes

Addresses

Primary practice location

107 Shelter LN
Levittown, NY 11756-1218

Mailing address

107 Shelter LN
Levittown, NY 11756-1218
Phone (646) 644-0429

Other providers in Levittown, NY

All providers in Levittown, NY · Neonatal Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.