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-- TRACY IVAN ABRAHAM -- PA

Individual Provider (NPI-1) Active

Physician Assistant, Surgical

Provider Information

NPI Number
1124241872
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
1650 GRAND CONCOURSE, BRONX, NY, 10457
Phone
(718) 901-8484

Specialties & Taxonomies

Physician Assistant, Surgical Primary License: NY #006753-1

All Addresses

MAILING

187 N. BROOKSIDE AVE.

FREEPORT, NY, 115201928

(516) 546-2980

LOCATION

1650 GRAND CONCOURSE

BRONX, NY, 10457

(718) 901-8484