MEDICARE: ABSIA JABBAR 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
1	207ZC0500X	Cytopathology Physician	319757	NY
2	207ZC0006X	Clinical Pathology Physician	319757	NY

General Provider Information

NPI Number	:	1912466731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABSIA JABBAR MD

Provider Business Mailing Address
First Line	:	450 CLARKSON AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2012
Country	:	US
Telephone Number	:	718-270-1291
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 CLARKSON AVENUE
Second Line	:	DEPARTMENT OF PATHOLOGY
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2012
Country	:	US
Telephone Number	:	718-270-1291
Fax Number	:

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

Provider Enumeration Date	:	03/19/2019
Last Update Date	:	03/13/2026

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