Individual
EDDA M Y ABAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6359 FOREST AVE, RIDGEWOOD, NY 11385-2070
(718) 366-8042
Mailing address
6359 FOREST AVE, RIDGEWOOD, NY 11385-2070
(718) 366-8042
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
121306
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00227303
—
NY
Enumeration date
07/07/2006
Last updated
08/24/2015
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