Provider Demographics
NPI:1124273263
Name:ABRAMS, MICHAEL E (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6910 AVENUE U
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6129
Mailing Address - Country:US
Mailing Address - Phone:718-444-3800
Mailing Address - Fax:718-444-3039
Practice Address - Street 1:6910 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6129
Practice Address - Country:US
Practice Address - Phone:718-444-3800
Practice Address - Fax:718-444-3039
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY373641223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics