Individual
ABI CIELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 FERNEY ST, HICKSVILLE, NY 11801-5161
(516) 445-0324
Mailing address
32 FERNEY ST, HICKSVILLE, NY 11801-5161
(516) 445-0324
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
552402041
NY
174400000X
Specialist
552403041
NY
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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