Abisror, Nathalie
Abisror, Nathalie is an individual health care provider with primary practice located at 101 Adirondack Dr Ste 2 , Ticonderoga NY 12883-9334. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Abisror, Nathalie can be contacted via phone (518) 585-6708.Contact Information
Primary practice address
101 Adirondack Dr Ste 2
Ticonderoga NY 12883-9334
Phone: (518) 585-6708
Fax: (518) 585-3260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 311246 | New York |
Profile Details
| NPI number | 1336634922 |
|---|---|
| LBN Legal business name | Abisror, Nathalie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2018 |
| Last updated | Nov 13th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336634922 | NPPES |
| New York | MEDICAID | 06655816 |
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