Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 114927 | NY |
N | 207NS0135X | Procedural Dermatology | 114927 | NY |
NPI | 1396845798 |
---|---|
Provider Name | Dale M Abadir |
First Address | Rye Brook, NY 10573-2867 |
Second Address | Rye Brook, NY 10573-2867 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 01/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B16725 | (02) |