Elias Abraham, PTA
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Deer Park, NY
NPI 1992444111 · NPPES record last updated Jun 4, 2022
Key facts
- NPI
- 1992444111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 006754-1 (NY)
- Practice address
- 82 Pine St
Deer Park, NY 11729-3012 - Phone
- (631) 599-2523
- NPI assigned
- Jun 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006754-1 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 006754-1 | NY | Yes |
Addresses
Primary practice location
82 Pine St
Deer Park, NY 11729-3012
Mailing address
82 Pine St
Deer Park, NY 11729-3012
Phone (631) 599-2523
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | HELLONOTE | Health Information Exchange (HIE) | |
| Other URL | HELLONOTE | Direct |
Other providers in Deer Park, NY
- 7 Susan Medical PC
- Jennifer Aberger
- Abilities Unlimited of N.Y.
- Mili Abraham
- Acorn Personnel, Inc.
- Elizabeth Adamo
- Emiola Omolola Adegbite
- Olufemi Eyitayo Adeyeye
All providers in Deer Park, NY · Physical Medicine & Rehabilitation Physician 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 Jun 4, 2022. 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.