Provider Demographics
NPI:1841355773
Name:ABRAMS, MICHAEL JOSEPH (PT)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:97 COUNTRYSIDE LN
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-1305
Mailing Address - Country:US
Mailing Address - Phone:716-688-4830
Mailing Address - Fax:716-898-3259
Practice Address - Street 1:462 GRIDER ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3021
Practice Address - Country:US
Practice Address - Phone:716-898-3222
Practice Address - Fax:716-898-3259
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY7800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist