Maryann Abbassi, RN
Individual provider Active NPI Registered Nurse · Suffern, NY
NPI 1104123967 · NPPES record last updated Feb 14, 2011
Key facts
- NPI
- 1104123967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 415699 (NY)
- Practice address
- 99 Washignton Ave
Suffern, NY 10901-6026 - Phone
- (845) 357-4500
- Fax
- (845) 357-5039
- NPI assigned
- Feb 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 415699 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 415699 | NY | Yes |
Addresses
Primary practice location
99 Washignton Ave
Suffern, NY 10901-6026
Mailing address
58 Wisconsin Ave
Congers, NY 10920-2817
Phone (845) 268-1910
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.