1407039282 NPI number — MRS. ARLYN JEAN DOMINGO ABUSTAN RPT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407039282 NPI number — MRS. ARLYN JEAN DOMINGO ABUSTAN RPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ABUSTAN
Provider First Name:
ARLYN JEAN
Provider Middle Name:
DOMINGO
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407039282
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/14/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4359 147TH ST
Provider Second Line Business Mailing Address:
LLF
Provider Business Mailing Address City Name:
FLUSHING
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11355-1739
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-445-3729
Provider Business Mailing Address Fax Number:
718-445-8867

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4359 147TH ST
Provider Second Line Business Practice Location Address:
LLF
Provider Business Practice Location Address City Name:
FLUSHING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11355-1739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-445-3729
Provider Business Practice Location Address Fax Number:
718-445-8867
Provider Enumeration Date:
12/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  029917 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225100000X , with the licence number: 008233 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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