Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 229102 | NY |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME132938 | FL |
NPI | 1306954755 |
---|---|
Provider Name | Christina A. Kabbash |
First Address | Belfast, ME 04915-4004 |
Second Address | Naples, FL 34119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2006 |
Last Update Date | 16/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11057663 | TAX ID NUMBER (01) | NY |