Abraham, Manoj Timothy

Abraham, Manoj Timothy is an sole proprietor health care provider with primary practice located at 82 N Water St , Poughkeepsie NY 12601-1721. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Abraham, Manoj Timothy can be contacted via phone (845) 454-8025.

Contact Information

Primary practice address
82 N Water St Poughkeepsie NY 12601-1721
Phone: (845) 454-8025
Fax: (845) 454-8026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 211519 New York
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 211519 New York

Profile Details

NPI number 1679682892
LBN Legal business name Abraham, Manoj Timothy
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679682892 NPPES
New York MEDICAID 02405489

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