Individual ProviderTibian AbramovitzInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1928 Lowell Ln, Merrick, NY 11566-5212(516) 665-3513PECOS EnrollmentBased on the most recent information from CMS, provider Tibian Abramovitz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1053351858Provider TypeIndividualFull NameAbramovitz, TibianCredentialMDGenderMaleSole ProprietorYesEnumeration Date6/8/2006Last Updated8/15/2022Contact InformationPractice LocationPractice Address1928 Lowell Ln, Merrick, NY 11566-5212Phone(516) 665-3513FaxUnlisted FaxMailing LocationMailing Address1928 Lowell Ln, Merrick, NY 11566-5212Phone(516) 665-3513FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense166539New YorkProvider IdentifiersIDDescriptionIssuerID93542DescriptionOtherIssuerBC BSNew YorkIDKP096DescriptionOtherIssuerOXFORDNew YorkID01141822DescriptionMedicaidIssuerUnlistedNew York