Phylicia Abraham, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cohoes, NY
NPI 1487405643 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1487405643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 64889
- Practice address
- 1019 New Loudon Rd
Cohoes, NY 12047-5003 - Phone
- (518) 262-7585
- NPI assigned
- Mar 27, 2024
- 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
- Doctor of Medicine
Interoperability endpoints
- pabraham89741@albanymed.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 64889 | Yes |
Addresses
Primary practice location
1019 New Loudon Rd
Cohoes, NY 12047-5003
Mailing address
1019 New Loudon Rd
Cohoes, NY 12047-5003
Other providers in Cohoes, NY
All providers in Cohoes, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.