MEDICARE: DR. BRUCE D ABEL D.P.M.

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	213E00000X	Podiatrist	N002586	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0013174	OTHER	NY	GHI

General Provider Information

NPI Number	:	1144228974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE D ABEL D.P.M.

Provider Business Mailing Address
First Line	:	988 MCLEAN AVE
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10704-4101
Country	:	US
Telephone Number	:	914-237-1686
Fax Number	:

Provider Business Practice Location Address
First Line	:	988 MCLEAN AVE
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10704-4101
Country	:	US
Telephone Number	:	914-237-1686
Fax Number	:

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

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	03/27/2008

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