Individual
LEONEL ELIAS CARRASCO ABINADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(404) 367-3014
Mailing address
520 WEST AVE, NORWALK, CT 06850-4034
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
293058
NY
207RP1001X
Pulmonary Disease Physician
61868
CT
207RP1001X
Pulmonary Disease Physician
Primary
83498
GA
Other
Enumeration date
08/08/2012
Last updated
11/04/2019
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