Abbey, Evan D

Abbey, Evan D is an sole proprietor health care provider with primary practice located at 7 E Genesee Street , Baldwinsville NY 13027. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Abbey, Evan D can be contacted via phone (315) 638-6428.

Contact Information

Primary practice address
7 E Genesee Street Baldwinsville NY 13027
Phone: (315) 638-6428
Fax: (315) 635-6024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 017639 New York

Profile Details

NPI number 1629163811
LBN Legal business name Abbey, Evan D
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Nov 9th, 2016 - about 8 years 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 1629163811 NPPES
New York MEDICAID 02216622

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