Provider Demographics
NPI:1225015431
Name:ABELL, DEBORAH H (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:H
Last Name:ABELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 KREAG RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-3706
Mailing Address - Country:US
Mailing Address - Phone:585-218-9560
Mailing Address - Fax:585-586-4984
Practice Address - Street 1:510 KREAG RD
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-3706
Practice Address - Country:US
Practice Address - Phone:585-218-9560
Practice Address - Fax:585-586-4984
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA159632208000000X
NY245481208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA159632OtherCONNECTICARE
MA24675OtherHEALTH NEW ENGLAND
MA202119OtherHARVARD PILGRIM
MA9773126Medicaid
MA088101OtherBMC
MAJ21148OtherBCBSMA
MA102444OtherCIGNA
MD159632OtherTUFTS
MA2576030OtherAETNA
MA088101OtherBMC