MEDICARE: DR. ILANA ABELES M.D., PHD

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	207RR0500X	Rheumatology Physician	306493	NY

General Provider Information

NPI Number	:	1770963464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ILANA ABELES M.D., PHD

Provider Business Mailing Address
First Line	:	601 ELMWOOD AVE BOX MED
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14642-0001
Country	:	US
Telephone Number	:	585-784-9750
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 RED CREEK DR STE 240
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-4281
Country	:	US
Telephone Number	:	585-486-0901
Fax Number	:

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

Provider Enumeration Date	:	06/08/2015
Last Update Date	:	01/16/2024

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