MEDICARE: MARJORIE ABBEY

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	164W00000X	Licensed Practical Nurse	317525	NY

General Provider Information

NPI Number	:	1659894749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARJORIE ABBEY

Provider Business Mailing Address
First Line	:	2228 ADAMS PL APT 3D
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-1747
Country	:	US
Telephone Number	:	718-671-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2228 ADAMS PL APT 3D
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-1747
Country	:	US
Telephone Number	:	718-671-2100
Fax Number	:

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

Provider Enumeration Date	:	07/20/2017
Last Update Date	:	07/21/2022

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Directions to “ MARJORIE ABBEY ” Practice Location

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