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NPI Code Detail

MEDICARE: FIDEL ABREU DDS PLLC

MEDICARE:   FIDEL  ABREU  DDS PLLC
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
1122300000XDentist047195-1NY

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 : 1396843884
Entity Type Code : Individual
Provider Name (Legal Business Name) : FIDEL ABREU DDS PLLC
Provider Business Mailing Address
First Line : 80 GUY LOMBARDO AVE
Second Line :
City : FREEPORT
State : NY
Zip : 11520-3715
Country : US
Telephone Number : 516-223-6896
Fax Number : 516-223-6854
Provider Business Practice Location Address
First Line : 80 GUY LOMBARDO AVE
Second Line :
City : FREEPORT
State : NY
Zip : 11520-3715
Country : US
Telephone Number : 516-223-6896
Fax Number : 516-223-2954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 04/26/2016

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Directions to “ FIDEL ABREU DDS PLLC” Practice Location

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