Healthcare Provider Details

I. General information

NPI: 1598722894
Provider Name (Legal Business Name): ANTHONY ABBATE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1622 GALISTEO ST
SANTA FE NM
87505-4747
US

IV. Provider business mailing address

1622 GALISTEO ST
SANTA FE NM
87505-4747
US

V. Phone/Fax

Practice location:
  • Phone: 505-438-8884
  • Fax: 505-438-8883
Mailing address:
  • Phone: 505-438-8884
  • Fax: 505-438-8883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY ABBATE
Title or Position: PRESIDENT
Credential: D.O.M.
Phone: 505-438-8884