Individual
JAIME ALTABET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 663-2204
Mailing address
86 RALPH RD, NEW ROCHELLE, NY 10804-1525
(914) 263-5900
(914) 632-0620
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
293354
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/13/2013
Last updated
04/07/2021
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