Individual
MARK ABIAH STEPHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
18507 64TH AVE BSMT MEDICAL, FRESH MEADOWS, NY 11365-2707
(347) 368-6222
(347) 368-6291
Mailing address
18507 64TH AVE BSMT MEDICAL, FRESH MEADOWS, NY 11365-2707
(347) 368-6222
(347) 368-6291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
290169
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275912495
—
NY
Enumeration date
05/20/2015
Last updated
12/25/2024
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