Individual provider · NPI-1

Dr. Jacobo Abadi

Pediatrics · Bronx, NY

NPI number1710064001
StatusActive
Last updated in NPPESApr 16, 2014

Details

NPI
1710064001
Entity type
Individual (NPI-1)
Name
Dr. Jacobo Abadi
Sex
Male
Sole proprietor
No
Enumeration date
Nov 1, 2006
Last updated
Apr 16, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics197201NYYes
2080P0208X Pediatrics, Pediatric Infectious Diseases197201NY

Practice location

1400 Pelham Pkwy S
Bronx, NY 10461-1138

Phone 718-918-3060 · Fax 718-918-4469

Mailing address

1400 Pelham Parkway South
Room 1w-5 Jacobi Medical Center
Bronx, NY 10461

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