Ira R Abbott, MD

Individual provider Active NPI Neurological Surgery Physician · Bronx, NY

NPI 1356445779 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1356445779
Entity type
Individual (NPI type 1)
Primary specialty
Neurological Surgery Physician 207T00000X
License
167007 (NY)
Practice address
MMC - Dept. of Neurosurgery
3316 Rochambeau Avenue
Bronx, NY 10467
Phone
(718) 920-8475
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 167007 NY Yes

Addresses

Primary practice location

MMC - Dept. of Neurosurgery
3316 Rochambeau Avenue
Bronx, NY 10467

Mailing address

30 Standish Dr
Scarsdale, NY 10583-6830
Phone (718) 920-8512

Other providers in Bronx, NY

All providers in Bronx, NY · Neurological Surgery Physician in New York

Sources for this page

Verify at the official NPI Registry.