Individual
JACQUELINE ABBATIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
66 WICKEY AVE, WESTBURY, NY 11590-2005
(516) 672-0210
Mailing address
66 WICKEY AVE, WESTBURY, NY 11590-2005
(516) 672-0210
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
309756
NY
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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