Individual
ALICIA ABBATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 6TH AVE, HOLTSVILLE, NY 11742-2308
(631) 793-4773
Mailing address
150 6TH AVE, HOLTSVILLE, NY 11742-2308
(631) 793-4773
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
678814121
NY
174400000X
Specialist
678815121
NY
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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