Organization
ABADAN MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MITCHELL (PHYSICIAN STAFF COORDINATOR)
(607) 324-8294
Entity
Organization
Contact information
Practice address
411 CANISTEO ST, HORNELL, NY 14843-2104
(607) 324-8000
(607) 324-8766
Mailing address
411 CANISTEO ST, HORNELL, NY 14843-2104
(607) 324-8000
(607) 324-8766
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G0181406510
BLUE CHOICE
NY
Enumeration date
03/19/2007
Last updated
08/22/2020
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