Provider Demographics
NPI:1154747731
Name:HAL ABRAHAMS DPM PC
Entity type:Organization
Organization Name:HAL ABRAHAMS DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM PC
Authorized Official - Phone:914-993-0477
Mailing Address - Street 1:199 VALENTINE LN
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-3615
Mailing Address - Country:US
Mailing Address - Phone:914-993-0477
Mailing Address - Fax:914-993-9031
Practice Address - Street 1:199 VALENTINE LN
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-3615
Practice Address - Country:US
Practice Address - Phone:914-993-0477
Practice Address - Fax:914-993-9031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-06
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNOO4333-01213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01092628Medicaid
NYPH9272Medicare PIN
NYPH9271Medicare PIN
NY01092628Medicaid
NY1697610001Medicare NSC
NY1154747731Medicare NSC
NYT51434Medicare UPIN