Provider Demographics
NPI:1972496750
Name:ABRAMOV, SVITLANA
Entity type:Individual
Prefix:
First Name:SVITLANA
Middle Name:
Last Name:ABRAMOV
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 LASSEN CT APT 10
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-7084
Mailing Address - Country:US
Mailing Address - Phone:917-396-0118
Mailing Address - Fax:917-396-0118
Practice Address - Street 1:106 LASSEN CT APT 10
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-7084
Practice Address - Country:US
Practice Address - Phone:917-396-0118
Practice Address - Fax:917-396-0118
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04146800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist