MEDICARE: ABIGAIL ABDO

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1760034235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL ABDO

Provider Business Mailing Address
First Line	:	1534 RIVER ST
Second Line	:
City	:	OLEAN
State	:	NY
Zip	:	14760-1358
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1534 RIVER ST
Second Line	:
City	:	OLEAN
State	:	NY
Zip	:	14760-1358
Country	:	US
Telephone Number	:	716-307-3901
Fax Number	:

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

Provider Enumeration Date	:	07/15/2019
Last Update Date	:	07/15/2019

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Directions to “ ABIGAIL ABDO ” Practice Location

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