Abraham, Tracy Ivan

Abraham, Tracy Ivan is an sole proprietor health care provider with primary practice located at 1650 Grand Concourse , Bronx NY 10457. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Abraham, Tracy Ivan can be contacted via phone (718) 901-8484.

Contact Information

Primary practice address
1650 Grand Concourse Bronx NY 10457
Phone: (718) 901-8484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 006753-1 New York

Profile Details

NPI number 1124241872
LBN Legal business name Abraham, Tracy Ivan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
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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