MEDICARE: ANTHONY ABBATE

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	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1598722894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY ABBATE

Provider Business Mailing Address
First Line	:	1622 GALISTEO ST
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-4747
Country	:	US
Telephone Number	:	505-438-8884
Fax Number	:	505-438-8883

Provider Business Practice Location Address
First Line	:	1622 GALISTEO ST
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-4747
Country	:	US
Telephone Number	:	505-438-8884
Fax Number	:	505-438-8883

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANTHONY ABBATE
Credential	:	D.O.M.
Telephone Number	:	505-438-8884

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	08/22/2020

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