Individual provider · NPI-1

Dr. Brian J. Abittan, M.D.

Dermatology · New York, NY

NPI number1902284482
StatusActive
Last updated in NPPESSep 2, 2021

Details

NPI
1902284482
Entity type
Individual (NPI-1)
Name
Dr. Brian J. Abittan
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 15, 2015
Certification date
Sep 2, 2021
Last updated
Sep 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology285104NYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

234 E 85th St Fl 5
New York, NY 10028-3001

Phone 212-241-6585

Mailing address

450 Clarkson Ave
Brooklyn, NY 11203-2098

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