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Individual

DR. MICHAEL FREDERICK CABBAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-2979
Mailing address
355 BARD AVE, STATEN ISLAND, NY 10310-1699
(718) 818-2979

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
143822
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01035294
NY
01
1700037975
TYPE II NPI AMBOY MEDICAL PRACTICE, PC
NY
Enumeration date
07/25/2006
Last updated
02/13/2025
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