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NPI Code Detail

MEDICARE: FARID ABDO MD

MEDICARE: FARID ABDO MD
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
12085R0202XDiagnostic Radiology Physician207992NY

General Provider Information

NPI Number : 1659379626
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARID ABDO MD
Provider Business Mailing Address
First Line : 244 WESTCHESTER AVE
Second Line : STE 103
City : WHITE PLAINS
State : NY
Zip : 10604-2907
Country : US
Telephone Number : 800-501-0388
Fax Number : 914-681-2906
Provider Business Practice Location Address
First Line : 600 E 233RD ST
Second Line :
City : BRONX
State : NY
Zip : 10466-2604
Country : US
Telephone Number : 718-920-0100
Fax Number : 718-920-1549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/08/2007

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