Individual
ANDREA ABEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 RYE AVE, STATEN ISLAND, NY 10312-3645
(718) 984-1346
Mailing address
130 RYE AVE, STATEN ISLAND, NY 10312-3645
(718) 984-1346
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1903237
NY
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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