NPI 1417660804 · live from the CMS NPI Registry
Jesa Abraham, PA-C
Physician Assistant in New York, NY. National Provider Identifier 1417660804, active.
NPI record
| NPI | 1417660804 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 30 7th Ave, New York, NY 10011 |
| Practice phone | 646-665-6900 |
| Mailing address | 600 Community Dr, Manhasset, NY 11030 |
| Enumerated | December 30, 2022 |
| Last updated | December 9, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 029271 (NY) |
| Emergency Medicine | 207P00000X | 029271 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.