Individual provider · NPI-1

Alan Abboud, MD

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

NPI number1891498531

StatusActive

Last updated in NPPESMar 28, 2023

Details

NPI: 1891498531
Entity type: Individual (NPI-1)
Name: Alan Abboud
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Mar 22, 2023
Certification date: Mar 28, 2023
Last updated: Mar 28, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
390200000X	Student in an Organized Health Care Education/Training Program	–	NY	Yes

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-0001

Phone 201-888-7342

Mailing address

193 Airmount Ave
Ramsey, NJ 07446-1201

Phone 201-888-7342

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