Individual provider · NPI-1

Erica Isabella Abidor, DO

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number1174226435
StatusActive
Last updated in NPPESJul 5, 2026

Details

NPI
1174226435
Entity type
Individual (NPI-1)
Name
Erica Isabella Abidor
Credential
DO
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 24, 2023
Certification date
Jul 5, 2026
Last updated
Jul 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-0001

Phone 631-689-8333

Mailing address

101 Nicolls Rd
Stony Brook, NY 11794-0001

Phone 631-689-8333

Other practice locations

475 Seaview Ave
Staten Island, NY 10305-3436

Phone 718-226-6159

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