Individual provider · NPI-1

Adela Rose Abogado-Mui, MD

Internal Medicine · Stony Brook, NY

NPI number1679102099
StatusActive
Last updated in NPPESJun 22, 2023

Details

NPI
1679102099
Entity type
Individual (NPI-1)
Name
Adela Rose Abogado-Mui
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 7, 2020
Certification date
Jun 22, 2023
Last updated
Jun 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine322831NYYes

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-0001

Phone 631-444-7411

Mailing address

101 Nicolls Rd
Stony Brook, NY 11794-0001

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