Ashley Abbatantono, NP
Individual provider Active NPI Adult Health Nurse Practitioner · New York, NY
NPI 1740069079 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1740069079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 311501 (NY)
- Practice address
- 54 W 21St St
New York, NY 10010-6908 - Phone
- (646) 397-6377
- NPI assigned
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311501 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Dermatology PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 311501 | NY | Yes |
Addresses
Primary practice location
54 W 21St St
New York, NY 10010-6908
Mailing address
649 Forest Ave
Rye, NY 10580-3219
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All providers in New York, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2023. 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.