Individual
JAKE ABBUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
81 SCHOOLHOUSE RD, ALBANY, NY 12203-3834
(518) 456-1211
Mailing address
81 SCHOOLHOUSE RD, ALBANY, NY 12203-3834
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
332135
NY
390200000X
Student in an Organized Health Care Education/Training Program
64407
NY
Other
Enumeration date
03/25/2021
Last updated
09/11/2024
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