Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | DN16926 | FL |
NPI | 1023183373 |
---|---|
Provider Name | Dr. Stephen Neal Abel |
First Address | Buffalo, NY 14214-8006 |
Second Address | Buffalo, NY 14214-8006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 15/08/2017 |