Individual provider · NPI-1

Bayan Fuad Abbag, md

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

NPI number1629624010
StatusActive
Last updated in NPPESAug 13, 2019

Details

NPI
1629624010
Entity type
Individual (NPI-1)
Name
Bayan Fuad Abbag
Credential
md
Sex
Female
Sole proprietor
No
Enumeration date
Aug 13, 2019
Last updated
Aug 13, 2019

Taxonomy and licenses

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

Practice location

1650 Grand Concourse
Bronx, NY 10457-7606

Phone 718-590-1800

Mailing address

3050 Fairfield Ave Apt 4l
Bronx, NY 10463-3337

Phone 973-545-1895

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