Provider Demographics
NPI:1093733545
Name:ABULENCIA, ARMAND E (MD)
Entity Type:Individual
Prefix:
First Name:ARMAND
Middle Name:E
Last Name:ABULENCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2779
Mailing Address - Country:US
Mailing Address - Phone:631-351-3728
Mailing Address - Fax:631-385-1046
Practice Address - Street 1:325 PARK AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2779
Practice Address - Country:US
Practice Address - Phone:631-351-3728
Practice Address - Fax:631-385-1046
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213944207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1751679OtherFIRST HEALTH
NY1951248Medicaid
NYP1309202OtherOXFORD
NY0102013944NYOtherANTHEM
NY74656OtherHEALTH PARTNERS
NY0698335OtherCIGNA
NY34133POtherHIP
NY200038408OtherRR MEDICARE
NY213944SOtherHEALTHCARE PARTNERS
NY2223102OtherAETNA
NY501030OtherGHI CBP
NY050185OtherGHI PPO
NY2C0548OtherHEALTHNET
NY84G621OtherBLUE CROSS BLUE SHIELD
NY99020OtherGHI HMO
NY11053037OtherMULTIPLAN
NYAA71672OtherMDNY
NY84G621OtherBLUE CROSS BLUE SHIELD
NY1951248Medicaid