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NPI Profile for MARY ABBOTT in LAKE RONKONKOMA, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
163WC1500X |
| NPI # | 1306160304 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 03/18/2010 | |
| Last updated | 03/18/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARY ABBOTT
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MARY ABBOTT, RN