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NPI Code Detail

MEDICARE: DR. ELIE M ABEMAYOR M.D.

MEDICARE: DR. ELIE M ABEMAYOR M.D.
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
1207RG0100XGastroenterology Physician168346NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376565358
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIE M ABEMAYOR M.D.
Provider Business Mailing Address
First Line : 190 GOLDENS BRIDGE RD
Second Line :
City : KATONAH
State : NY
Zip : 10536-2810
Country : US
Telephone Number : 914-401-8053
Fax Number : 914-232-3366
Provider Business Practice Location Address
First Line : 91 SMITH AVE
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-2810
Country : US
Telephone Number : 914-241-9026
Fax Number : 914-241-1381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 09/28/2012

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