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Ethan Abbott, DO

Emergency Medicine in Bronx, NY. Individual provider (NPI-1).

NPI number1619252202
StatusActive
Last updated in NPPESAug 8, 2014

Details

NPI
1619252202
Entity type
Individual (NPI-1)
Name
Ethan Abbott
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 15, 2011
Last updated
Aug 8, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine268067NYYes

Practice location

1825 Eastchester Road
Montefiore, Weiler Hospital
Bronx, NY 10461

Phone 718-904-3333

Mailing address

1825 Eastchester Road
Montefiore, Weiler Hospital
Bronx, NY 10461-1138

Phone 718-904-3333

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