Jenny Elizabeth Abraham, DDS Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · West Islip, NY

NPI

1922184720

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

046862-1 (NY)

Sex

Female

Sole proprietor

No

Enumerated

2006-10-27

Last updated

2007-07-08