Healthcare Provider Details

I. General information

NPI: 1063344000
Provider Name (Legal Business Name): MARCHELLA ABBATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 WOOD TER
EAST HAVEN CT
06513-1308
US

IV. Provider business mailing address

67 WOOD TER
EAST HAVEN CT
06513-1308
US

V. Phone/Fax

Practice location:
  • Phone: 203-589-3030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number17686
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number195010
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: