Port, Abraham
Port, Abraham is an individual health care provider with primary practice located at 990 Stewart Ave Suite 100, Garden City NY 11530-4822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Port, Abraham can be contacted via phone (516) 222-4294.Contact Information
Primary practice address
990 Stewart Ave Suite 100
Garden City NY 11530-4822
Phone: (516) 222-4294
Fax: (516) 222-4880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 151163 | New York |
Profile Details
| NPI number | 1447220975 |
|---|---|
| LBN Legal business name | Port, Abraham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jan 19th, 2016 - about 8 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 | 1447220975 | NPPES |
| New York | MEDICAID | 00930218 |
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