NPI 1467075812 · live from the CMS NPI Registry
Alex Abraham, FNP
Nurse Practitioner, Family in Pomona, NY. National Provider Identifier 1467075812, active.
NPI record
| NPI | 1467075812 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1 Marion Ct, Pomona, NY 10970 |
| Practice phone | 845-729-4423 |
| Enumerated | May 20, 2020 |
| Last updated | October 14, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | 530437 (NY) |
| Nurse Practitioner, Family primary | 363LF0000X | 346701 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.