Abraham, Winston
Abraham, Winston is an sole proprietor health care provider with primary practice located at 12202 Liberty Ave , South Richmond Hill NY 11419-2114. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Abraham, Winston can be contacted via phone (718) 886-6645.Contact Information
Primary practice address
12202 Liberty Ave
South Richmond Hill NY 11419-2114
Phone: (718) 886-6645
Fax: (718) 886-6742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 50232 | New York |
Profile Details
| NPI number | 1659557197 |
|---|---|
| LBN Legal business name | Abraham, Winston |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2008 |
| Last updated | Jan 15th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659557197 | NPPES |
| New York | MEDICAID | 01562321 |
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