Abbatiello, David J

Abbatiello, David J is an individual health care provider with primary practice located at 1116 Morgan Rd , Memphis NY 13112-8717. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Abbatiello, David J can be contacted via phone (315) 481-1557.

Contact Information

Primary practice address
1116 Morgan Rd Memphis NY 13112-8717
Fax: (315) 277-5007
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 657899026 New York

Profile Details

NPI number 1437508892
LBN Legal business name Abbatiello, David J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2016
Last updated Jun 15th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437508892 NPPES
New York Other 464911199 FIDELIS CARE
New York MEDICAID 03437116 FIDELIS CARE

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