MEDICARE: DR. ABIGAIL A NEIGHMOND D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	303268	NY

General Provider Information

NPI Number	:	1306839402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABIGAIL A NEIGHMOND D.O.

Provider Business Mailing Address
First Line	:	PO BOX 3810
Second Line	:
City	:	JOPLIN
State	:	MO
Zip	:	64803-3810
Country	:	US
Telephone Number	:	417-347-2540
Fax Number	:	417-347-2539

Provider Business Practice Location Address
First Line	:	8 MEDICAL PARK DR
Second Line	:
City	:	BALLSTON SPA
State	:	NY
Zip	:	12020-5050
Country	:	US
Telephone Number	:	518-289-2775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	02/28/2025

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