Individual provider · NPI-1

Nadeem R Abu-Rustum, MD

Obstetrics & Gynecology, Gynecologic Oncology · New York, NY

NPI number1164407540
StatusActive
Last updated in NPPESApr 7, 2015

Details

NPI
1164407540
Entity type
Individual (NPI-1)
Name
Nadeem R Abu-Rustum
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 8, 2005
Last updated
Apr 7, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology220080NYYes

Practice location

1275 York Ave
New York, NY 10021-6007

Phone 212-639-2000

Mailing address

633 3rd Ave
Box 3
New York, NY 10017-6706

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