Isaac K Abban, RN

Individual provider Active NPI School Registered Nurse · Bronx, NY

NPI 1427705490 · NPPES record last updated Mar 9, 2022

Key facts

NPI
1427705490
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
621352 (NY)
Practice address
3488 Fish Ave Apt 2C
Bronx, NY 10469-2207
Phone
(646) 624-7699
NPI assigned
Mar 9, 2022
Sex
Male
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

LicenseStateTypeSpecialty
621352NYMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 621352 NY Yes

Addresses

Primary practice location

3488 Fish Ave Apt 2C
Bronx, NY 10469-2207

Mailing address

3488 Fish Ave Apt 2C
Bronx, NY 10469-2207
Phone (646) 624-7699

Other providers in Bronx, NY

All providers in Bronx, NY · School Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.