Active NPIIndividual provider

Dr. Mithun M Abraham, DPT

Physical Therapist in Great Neck, New York

NPI Number1033689781
Practice location
475 Northern Blvd Ste 11, Great Neck, NY 11021
Fax
516-466-7723
Last updated
October 17, 2019

Dr. Mithun M Abraham, DPT is a Physical Therapist based in Great Neck, NY. Dr. Mithun M Abraham, DPT holds the professional credentials of DPT. The NPI number for Dr. Mithun M Abraham, DPT is 1033689781 and holds license No. 043684-1 (NY). The current practice location address is 475 Northern Blvd Ste 11, Great Neck, NY 11021 and the office can be reached by phone at 516-829-0030 and by fax at 516-466-7723. The NPI was assigned on November 26, 2018 and the record was last updated in NPPES on October 17, 2019.

●Provider Profile Details

NPI Number
1033689781
Provider Name
Mithun Mamoottil Abraham
Credential
DPT
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Enumeration Date
November 26, 2018
Last Update Date
October 17, 2019
NPI Status
Active

◉Business Practice Location Address

Address
475 Northern Blvd Ste 11
Great Neck, NY 11021
ZIP
11021
Country
US
Phone Number
516-829-0030
Fax Number
516-466-7723

Get directions →

✉Business Mailing Address

Address
475 Northern Blvd Ste 27
Great Neck, NY 11021-4802
City
Great Neck
State
NY
ZIP
11021-4802
Phone Number
516-829-0030
Fax Number
516-466-7723

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physical Therapist225100000XYes043684-1NY
Physical Therapist, Orthopedic2251X0800XNo043684-1NY

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Mithun M Abraham, DPT?

The NPI number of Dr. Mithun M Abraham, DPT is 1033689781. It was assigned on November 26, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Mithun M Abraham, DPT?

Dr. Mithun M Abraham, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X) and holds license No. 043684-1 (NY).

Where does Dr. Mithun M Abraham, DPT practice?

The practice location is 475 Northern Blvd Ste 11, Great Neck, NY 11021. The office can be reached at 516-829-0030 (phone) or 516-466-7723 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033689781 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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