Abraham, Jenny Elizabeth

Abraham, Jenny Elizabeth is an individual health care provider with primary practice located at 725 Montauk Hwy , West Islip NY 11795-4920. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Abraham, Jenny Elizabeth can be contacted via phone (631) 661-6202.

Contact Information

Primary practice address
725 Montauk Hwy West Islip NY 11795-4920
Phone: (631) 661-6202
Fax: (631) 661-7269
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 046862-1 New York

Profile Details

NPI number 1922184720
LBN Legal business name Abraham, Jenny Elizabeth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922184720 NPPES
New York MEDICAID 02645581

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