Provider Demographics
NPI:1063864585
Name:ABBASEY MEDICAL PLLC
Entity Type:Organization
Organization Name:ABBASEY MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SALMAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:ABBASEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-260-8635
Mailing Address - Street 1:4263 LAKEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:GENESEO
Mailing Address - State:NY
Mailing Address - Zip Code:14454-1179
Mailing Address - Country:US
Mailing Address - Phone:585-243-0550
Mailing Address - Fax:585-243-3777
Practice Address - Street 1:4263 LAKEVILLE RD
Practice Address - Street 2:
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-1179
Practice Address - Country:US
Practice Address - Phone:585-243-0550
Practice Address - Fax:585-243-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty