Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 277793 | NY |
NPI | 1013179944 |
---|---|
Provider Name | Dr. Saddam Saleh Abisse |
First Address | Albany, NY 12212-4890 |
Second Address | Schenectady, NY 12309-1079 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2008 |
Last Update Date | 04/11/2021 |