Healthcare Provider Details

I. General information

NPI: 1538090469
Provider Name (Legal Business Name): DONTAE ABBATE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 MAIN ST
WEST HAVEN CT
06516-4296
US

IV. Provider business mailing address

67 WOOD TER
EAST HAVEN CT
06513-1308
US

V. Phone/Fax

Practice location:
  • Phone: 203-931-1184
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6543
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: