Individual provider · NPI-1

Priscilla Marie Abate Namnum, MD

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

NPI number1699463547
StatusActive
Last updated in NPPESAug 6, 2026

Details

NPI
1699463547
Entity type
Individual (NPI-1)
Name
Priscilla Marie Abate Namnum
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 28, 2023
Certification date
Aug 6, 2026
Last updated
Aug 6, 2026

Taxonomy and licenses

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

Practice location

281 1st Avenue
New York, NY 10003

Phone 212-420-3363

Mailing address

281 1st Avenue
New York, NY 10003

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