Individual provider · Type 1 NPI

Kenney Abraham, DO

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1023710969 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Call (718) 226-9000 Map

Mailing address

101 Nicolls Rd
Stony Brook, NY 11794-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023710969

Kenney Abraham, DO's National Provider Identifier is 1023710969, issued on Mar 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 26, 2026.