Provider Demographics
NPI:1043670862
Name:ABRAMS, ALAN VICTOR (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:VICTOR
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E 77TH ST
Mailing Address - Street 2:10D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-2450
Mailing Address - Country:US
Mailing Address - Phone:212-988-2205
Mailing Address - Fax:212-988-2205
Practice Address - Street 1:300 E 77TH ST
Practice Address - Street 2:10D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-2450
Practice Address - Country:US
Practice Address - Phone:212-988-2205
Practice Address - Fax:212-988-2205
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231386-1208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery