MEDICARE: FRANK ABBATEMARCO JR. RN

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	163WC1500X	Community Health Registered Nurse	633140-1	NY

General Provider Information

NPI Number	:	1912316225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK ABBATEMARCO JR. RN

Provider Business Mailing Address
First Line	:	269 ROLLING HILL GRN
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-1818
Country	:	US
Telephone Number	:	917-747-6851
Fax Number	:

Provider Business Practice Location Address
First Line	:	269 ROLLING HILL GRN
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-1818
Country	:	US
Telephone Number	:	917-747-6851
Fax Number	:

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

Provider Enumeration Date	:	08/12/2014
Last Update Date	:	08/12/2014

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