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NPI Code Detail

MEDICARE: HALEY ELIZABETH ABBOTT DDS

MEDICARE: HALEY ELIZABETH ABBOTT DDS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1568313161
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY ELIZABETH ABBOTT DDS
Provider Business Mailing Address
First Line : 20 OSWEGO AVE
Second Line :
City : EAST ATLANTIC BEACH
State : NY
Zip : 11561-1017
Country : US
Telephone Number : 516-974-5563
Fax Number :
Provider Business Practice Location Address
First Line : 506 6TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3609
Country : US
Telephone Number : 718-780-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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