MR. RICHARD ABRAHAM PA-C NPI 1912013046

NPI Information

NPI: 1912013046
Provider Name: MR. RICHARD ABRAHAM, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: ORTHOPAEDICS SPINE AND SPORTS MEDICINE LLC

PECOS Registration: Yes

Address:
6 TECHNOLOGY DR STE 100
EAST SETAUKET, NY
ZIP 11733
Phone: (631) 689-6698
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MR. Richard Abraham, PA-C is a surgical physician assistant in East Setauket, NY with 27 years of experience. MR. Richard Abraham, PA-C NPI is 1912013046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6 TECHNOLOGY DR STE 100
EAST SETAUKET, NY
ZIP 11733-079
Phone: (631) 689-6698
Fax: (631) 751-5548

The NPI 1912013046 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 5/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		006419	NEW YORK	No
2	363AS0400X	Physician Assistant	Surgical	006419	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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